{"hospital_name":"Calais Community Hospital","standard_charge_information":[{"description":"Major joint replacement or reattachment of lower extremity without MCC","code_information":[{"code":"CP17585603409756516","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"470","type":"DRG"}],"standard_charges":[{"setting":"inpatient","minimum":1285,"maximum":52116,"gross_charge":56957,"discounted_cash":42718,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47901},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52116},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25061},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33035},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25061}]}]},{"description":"Or 901-960 21 Units","code_information":[{"code":"17121","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7813,"maximum":34569,"gross_charge":37780,"discounted_cash":28335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32491},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7813},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29997},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21912},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7813},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16623}]}]},{"description":"Or 841-900 20 Units","code_information":[{"code":"17120","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7255,"maximum":32098,"gross_charge":35080,"discounted_cash":26310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29502},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32098},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15435},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20346},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15435}]}]},{"description":"Ttl Hip Cap Kit Ceramichead/trbclr Stem","code_information":[{"code":"51970","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6837,"maximum":30252,"gross_charge":33062,"discounted_cash":24797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27805},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14547},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29756},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6837},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14547}]}]},{"description":"Ttl Knee Cap Kit Trbclrw/porus Fmrl&linr","code_information":[{"code":"51100","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6680,"maximum":29557,"gross_charge":32303,"discounted_cash":24227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27781},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6680},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29073},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18736},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27781},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6680},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14213}]}]},{"description":"Or 781-840 19 Units","code_information":[{"code":"17119","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6647,"maximum":29412,"gross_charge":32144,"discounted_cash":24108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27644},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6647},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25522},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27033},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29412},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28930},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18644},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27644},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6647},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14143}]}]},{"description":"Ttl Hip Cap Kit Ceramic Head","code_information":[{"code":"51079","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6523,"maximum":28862,"gross_charge":31543,"discounted_cash":23657,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6523},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25045},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26528},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28862},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13879},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28389},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6523},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13879}]}]},{"description":"Ttl Hip Cap Kit Ceramichead/trbclr Stem","code_information":[{"code":"51088","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6424,"maximum":28425,"gross_charge":31066,"discounted_cash":23300,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26717},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27959},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6424},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13669}]}]},{"description":"Ttl Hip Cap Kit Trabclr Stem/metasulhead","code_information":[{"code":"52064","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6366,"maximum":28167,"gross_charge":30784,"discounted_cash":23088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6366},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25889},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13545},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27706},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6366},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13545}]}]},{"description":"Or 721-780 18 Units","code_information":[{"code":"17118","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6162,"maximum":27266,"gross_charge":29799,"discounted_cash":22349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25061},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26819},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25627},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13112}]}]},{"description":"Ttl Knee Cap Kit Trabeculr","code_information":[{"code":"50499","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6079,"maximum":26897,"gross_charge":29396,"discounted_cash":22047,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23340},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26897},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12934},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26456},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17050},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6079},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12934}]}]},{"description":"Ttl Hip Cap Kit Trabclr Stem/cer Head","code_information":[{"code":"52056","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5913,"maximum":26163,"gross_charge":28593,"discounted_cash":21445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24590},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24047},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12581},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16584},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12581}]}]},{"description":"External Fixator Set Large (Implants)","code_information":[{"code":"48101","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5856,"maximum":25911,"gross_charge":28318,"discounted_cash":21239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22484},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23815},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25911},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12460},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25486},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16424},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5856},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12460}]}]},{"description":"Hip Femoral Stem 12/14 Wagner Sl Revisn","code_information":[{"code":"51996","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5845,"maximum":25862,"gross_charge":28264,"discounted_cash":21198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5845},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25862},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16393},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5845},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12436}]}]},{"description":"Ttl Knee Cap Kitw/prct Tib Prs Fmrl&linr","code_information":[{"code":"51990","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5837,"maximum":25825,"gross_charge":28224,"discounted_cash":21168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24273},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5837},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22410},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12419},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16370},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5837},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12419}]}]},{"description":"Or 661-720 17 Units","code_information":[{"code":"17117","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5812,"maximum":25714,"gross_charge":28103,"discounted_cash":21077,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5812},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23635},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12365},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25293},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16300},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5812},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12365}]}]},{"description":"Removal of gallbladder using an endoscope","code_information":[{"code":"CP17585603409743456","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"47562","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5786,"maximum":25603,"gross_charge":27981,"discounted_cash":20986,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24064},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5786},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22217},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23532},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25603},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16229},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24064},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5786},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12312}]}]},{"description":"Ttl Hip Cap Kit Trabecular","code_information":[{"code":"51056","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5770,"maximum":25528,"gross_charge":27899,"discounted_cash":20924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23993},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5770},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25528},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23993},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5770},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12276}]}]},{"description":"Ttl Hip Cap Kit Trabecular","code_information":[{"code":"51039","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5675,"maximum":25110,"gross_charge":27443,"discounted_cash":20582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23601},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23080},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12075},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24699},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15917},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23601},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5675},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12075}]}]},{"description":"Ttl Knee Cap Kit Trabclrw/porous Fmrl","code_information":[{"code":"51037","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5635,"maximum":24932,"gross_charge":27248,"discounted_cash":20436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5635},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21635},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22916},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11989},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15804},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5635},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11989}]}]},{"description":"Rotat Hinge Femoral D-lt","code_information":[{"code":"53188","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5490,"maximum":24291,"gross_charge":26548,"discounted_cash":19911,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22831},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5490},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21079},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24291},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11681},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23893},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5490},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11681}]}]},{"description":"Ttl Knee Cap Kit Trabclr W/prct Fmrl","code_information":[{"code":"51044","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5362,"maximum":23725,"gross_charge":25929,"discounted_cash":19447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20588},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21806},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11409},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15039},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5362},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11409}]}]},{"description":"Ttl Hip Cap Kit Metasul","code_information":[{"code":"50522","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50522","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5273,"maximum":23333,"gross_charge":25500,"discounted_cash":19125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21930},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20247},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21446},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23333},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22950},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14790},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21930},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5273},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11220}]}]},{"description":"Hip Femoral Stem Sz 13 138mm Versys","code_information":[{"code":"51969","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5230,"maximum":23141,"gross_charge":25291,"discounted_cash":18968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21750},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21270},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22762},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14669},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21750},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11128}]}]},{"description":"Or 601-660 16 Units","code_information":[{"code":"17116","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5168,"maximum":22864,"gross_charge":24988,"discounted_cash":18741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21490},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19840},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21015},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10995},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22489},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21490},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10995}]}]},{"description":"Alteplase Vial 100mg","code_information":[{"code":"304189","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242008527","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5017,"maximum":22198,"gross_charge":24260,"discounted_cash":18195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20864},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20403},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10674},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21834},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14071},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5017},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10674}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Or 541-600 15 Units","code_information":[{"code":"17115","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4925,"maximum":21791,"gross_charge":23815,"discounted_cash":17861,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20481},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18909},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20028},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21791},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10479},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13813},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20481},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4925},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10479}]}]},{"description":"Ttl Knee Cap Kit Trabclrw/prus Fmrl&linr","code_information":[{"code":"51092","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4877,"maximum":21577,"gross_charge":23581,"discounted_cash":17686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4877},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19832},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13677},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4877},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10376}]}]},{"description":"Ttl Knee Cap Kit Porous","code_information":[{"code":"50495","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4847,"maximum":21448,"gross_charge":23440,"discounted_cash":17580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4847},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18611},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10314},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21096},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13595},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4847},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10314}]}]},{"description":"Repair of groin hernia patient age 5 years or older","code_information":[{"code":"CP17585603409740738","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"49505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4821,"maximum":21330,"gross_charge":23311,"discounted_cash":17483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20047},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4821},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19605},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20980},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13520},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20047},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4821},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10257}]}]},{"description":"Tenecteplase Inj 50mg","code_information":[{"code":"303929","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242012047","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4778,"maximum":21140,"gross_charge":23104,"discounted_cash":17328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19869},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4778},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19430},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10166},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20794},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19869},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4778},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10166}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Ttl Hip Cap Kit Porous","code_information":[{"code":"50545","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4734,"maximum":20946,"gross_charge":22892,"discounted_cash":17169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20946},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10072},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13277},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4734},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10072}]}]},{"description":"Femoral Nail Lag Screw 10.5mm Dia X 95mm","code_information":[{"code":"51842","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4643,"maximum":20542,"gross_charge":22450,"discounted_cash":16838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4643},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17825},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20542},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9878},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13021},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4643},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9878}]}]},{"description":"Ttl Hip Cap Kit","code_information":[{"code":"50487","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50487","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4586,"maximum":20291,"gross_charge":22176,"discounted_cash":16632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19071},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4586},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17608},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20291},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12862},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19071},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4586},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9757}]}]},{"description":"Ttl Hip Cap Kit Porous/metal Head","code_information":[{"code":"50532","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50532","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4405,"maximum":19490,"gross_charge":21301,"discounted_cash":15976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18319},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19490},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9372},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12355},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9372}]}]},{"description":"Or 481-540 14 Units","code_information":[{"code":"17114","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4308,"maximum":19061,"gross_charge":20832,"discounted_cash":15624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17916},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17520},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19061},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9166},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18749},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12083},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4308},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9166}]}]},{"description":"Total Knee Femoral Compnt Sz F Right Nex","code_information":[{"code":"51063","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4283,"maximum":18949,"gross_charge":20709,"discounted_cash":15532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17810},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18949},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12011},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17810},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9112}]}]},{"description":"Ttl Knee Cap Kit","code_information":[{"code":"50486","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3992,"maximum":17665,"gross_charge":19306,"discounted_cash":14480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16603},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17665},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8495},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17375},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16603},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3992},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8495}]}]},{"description":"Cartilage Graft Denovo Natrl Tissue","code_information":[{"code":"52060","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3984,"maximum":17627,"gross_charge":19264,"discounted_cash":14448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16567},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3984},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16201},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17627},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8476},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16567},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3984},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8476}]}]},{"description":"Or 421-480 13 Units","code_information":[{"code":"17113","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3948,"maximum":17469,"gross_charge":19092,"discounted_cash":14319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16419},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3948},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16056},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11073},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16419},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3948},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8400}]}]},{"description":"Hip Femoral Stem Sz 13 140mm Versys","code_information":[{"code":"50479","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3866,"maximum":17104,"gross_charge":18693,"discounted_cash":14020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16076},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3866},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15721},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8225},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10842},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3866},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8225}]}]},{"description":"Dermaspan 9mm-1.99mm 12x12 Cm","code_information":[{"code":"53230","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3783,"maximum":16739,"gross_charge":18294,"discounted_cash":13721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15733},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15385},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16739},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16465},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10611},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15733},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3783},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8049}]}]},{"description":"Total Knee Femoral Compnt Sz E Right Lps","code_information":[{"code":"50798","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50798","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3602,"maximum":15938,"gross_charge":17419,"discounted_cash":13064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13831},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14649},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15938},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7664},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7664}]}]},{"description":"Total Knee Femoral Compnt Sz E Left Lps","code_information":[{"code":"51082","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3602,"maximum":15938,"gross_charge":17419,"discounted_cash":13064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13831},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14649},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15938},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7664},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7664}]}]},{"description":"Total Knee Femoral Compnt Sz D Rt","code_information":[{"code":"52403","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3602,"maximum":15938,"gross_charge":17419,"discounted_cash":13064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13831},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14649},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15938},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7664},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7664}]}]},{"description":"Hip Femoral Stem Sz 15 160mm Versys","code_information":[{"code":"50470","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50470","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3599,"maximum":15923,"gross_charge":17402,"discounted_cash":13052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14966},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14635},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15923},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7657},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15662},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14966},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7657}]}]},{"description":"Rr-vedolizumab Vial 300mg","code_information":[{"code":"306183","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3380","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3593,"maximum":15896,"gross_charge":17373,"discounted_cash":13030,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3593},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14611},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15896},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7644},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15636},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10076},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3593},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7644}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Unipolar Hip Kit Capitated Price","code_information":[{"code":"51058","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3589,"maximum":15881,"gross_charge":17356,"discounted_cash":13017,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15881},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15620},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10066},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7637}]}]},{"description":"Removal of one knee cartilage using an endoscope","code_information":[{"code":"CP17585603409744815","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29881","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3580,"maximum":15838,"gross_charge":17309,"discounted_cash":12982,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14886},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14557},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15838},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7616},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10039},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14886},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3580},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7616}]}]},{"description":"Rr-natalizumab Vial 300mg/15ml","code_information":[{"code":"304954","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2323","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3552,"maximum":15717,"gross_charge":17177,"discounted_cash":12883,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14446},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15717},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7558},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9963},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14772},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3552},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7558}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Subchondroplasty Knee Kit","code_information":[{"code":"52226","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3535,"maximum":15642,"gross_charge":17095,"discounted_cash":12821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14702},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13573},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14377},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15642},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14702},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7522}]}]},{"description":"Or 361-420 12 Units","code_information":[{"code":"17112","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3457,"maximum":15295,"gross_charge":16716,"discounted_cash":12537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14376},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3457},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7355},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15044},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9695},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14376},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3457},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7355}]}]},{"description":"Perc Lamin For Deompr Neural Elem Lumbar","code_information":[{"code":"850066","type":"CDM"},{"code":"360","type":"RC"},{"code":"0275T","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3427,"maximum":15164,"gross_charge":16573,"discounted_cash":12430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13938},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7292},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14916},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9612},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3427},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7292}]}]},{"description":"F/t Nail Tibial Compnt 11mm X 370mm","code_information":[{"code":"50482","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3338,"maximum":14769,"gross_charge":16141,"discounted_cash":12106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13881},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12816},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13575},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14769},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9362},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13881},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7102}]}]},{"description":"F/t Nail Femoral Compnt 13mm X 340mm","code_information":[{"code":"50483","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50483","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3338,"maximum":14769,"gross_charge":16141,"discounted_cash":12106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13881},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12816},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13575},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14769},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9362},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13881},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3338},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7102}]}]},{"description":"Hip Acetblr Liner 28mm Id Sz Jj Longevit","code_information":[{"code":"51871","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3297,"maximum":14590,"gross_charge":15945,"discounted_cash":11959,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13713},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14590},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7016},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14351},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13713},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7016}]}]},{"description":"Total Knee Femoral Compnt Sz F Left Crfl","code_information":[{"code":"50433","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50433","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14293,"gross_charge":15621,"discounted_cash":11716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13137},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Total Knee Femoral Compnt Sz G Rght Crfl","code_information":[{"code":"50457","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14293,"gross_charge":15621,"discounted_cash":11716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13137},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Total Knee Femoral Compnt Sz E Left Crfl","code_information":[{"code":"50476","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50476","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14293,"gross_charge":15621,"discounted_cash":11716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13137},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Total Knee Femoral Compnt Sz E Rght Crfl","code_information":[{"code":"50484","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14293,"gross_charge":15621,"discounted_cash":11716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13137},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Stem Sz 13 138mm Trabecular","code_information":[{"code":"51068","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Stem Sz 12 128mm Versys","code_information":[{"code":"51081","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Stem Sz 15 160mm Versys","code_information":[{"code":"51099","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Stem Sz 14 149mm Versys","code_information":[{"code":"52028","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Stem Sz 11 117mm Versys","code_information":[{"code":"51988","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Hip Femoral Head Unipolar 12/14 45mm","code_information":[{"code":"52325","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Bactisure Wound Lavage","code_information":[{"code":"52326","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3230,"maximum":14292,"gross_charge":15620,"discounted_cash":11715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6873}]}]},{"description":"Ttl Knee Tibial Cmpnt Lps Size 3 12mm","code_information":[{"code":"51071","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3226,"maximum":14272,"gross_charge":15598,"discounted_cash":11699,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3226},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12385},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14272},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6863},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14038},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9047},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3226},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6863}]}]},{"description":"Rr-vedolizumab 300mg/250ml Ns","code_information":[{"code":"306434","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3590","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3194,"maximum":14132,"gross_charge":15445,"discounted_cash":11584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12989},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13901},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8958},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6796}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ttl Knee Femoral Compnt Sz 7 Rt Narrow","code_information":[{"code":"51844","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51844","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 08 Rt Standrd","code_information":[{"code":"51846","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 7 Lt Narrow","code_information":[{"code":"51849","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51849","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 09 Rt Standrd","code_information":[{"code":"51850","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51850","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 6 Lt Narrow","code_information":[{"code":"51855","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51855","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 05 Lt Standrd","code_information":[{"code":"51858","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 11 Lt Narrow","code_information":[{"code":"51859","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 05 Rt Standrd","code_information":[{"code":"51861","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 06 Lt Standrd","code_information":[{"code":"51862","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51862","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 10 Lt Narrow","code_information":[{"code":"51863","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51863","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 11 Rt Standrd","code_information":[{"code":"51864","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 09 Lt Standrd","code_information":[{"code":"51865","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 8 Lt Narrow","code_information":[{"code":"51867","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 10 Lt Standrd","code_information":[{"code":"51868","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51868","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 6 Lt Narrow","code_information":[{"code":"51869","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51869","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 08 Lt Standrd","code_information":[{"code":"51870","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 07 Rt Standrd","code_information":[{"code":"51873","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 11 Lt Standrd","code_information":[{"code":"51874","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 06 Rt Standrd","code_information":[{"code":"51875","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51875","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 6 Rt Narrow","code_information":[{"code":"52331","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 7 Rt Narrow","code_information":[{"code":"52335","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 8 Lt Narrow","code_information":[{"code":"52338","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 9 Rt Narrow","code_information":[{"code":"52342","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 7 Lt Narrow","code_information":[{"code":"52343","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 07 Lt Standrd","code_information":[{"code":"52345","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Articular Surface Left 10mm Persona","code_information":[{"code":"52383","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 09 Rt Standrd","code_information":[{"code":"52385","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52385","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 8 Rt Narrow","code_information":[{"code":"52393","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Knee Femoral Compnt Sz 5 Rt Narrow","code_information":[{"code":"52399","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52399","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 10 Lt Narrow","code_information":[{"code":"52412","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 07 Rt Standrd","code_information":[{"code":"52419","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 7 Lt Narrow","code_information":[{"code":"52422","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Ttl Knee Femoral Compnt Sz 10 Rt Narrow","code_information":[{"code":"52430","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52430","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3140,"maximum":13895,"gross_charge":15186,"discounted_cash":11390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13895},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6682},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8808},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6682}]}]},{"description":"Mesh Phasix  St Ops 15cm X 30cm Oval","code_information":[{"code":"53011","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3005,"maximum":13298,"gross_charge":14533,"discounted_cash":10900,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12498},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12222},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13080},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8429},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12498},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6395}]}]},{"description":"Shoulder Humeral Stem  7.0mm","code_information":[{"code":"50546","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50546","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2921,"maximum":12923,"gross_charge":14124,"discounted_cash":10593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11878},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12923},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12712},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2921},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6215}]}]},{"description":"Shoulder Humeral Stem 13.0mm","code_information":[{"code":"50548","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50548","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2921,"maximum":12923,"gross_charge":14124,"discounted_cash":10593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2921},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11878},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12923},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12712},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2921},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6215}]}]},{"description":"Or 301-360 11 Units","code_information":[{"code":"17111","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2895,"maximum":12810,"gross_charge":14000,"discounted_cash":10500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12040},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12810},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12600},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12040},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6160}]}]},{"description":"Total Knee Femoral Compnt Sz E Left Crfl","code_information":[{"code":"50480","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50480","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2871,"maximum":12705,"gross_charge":13885,"discounted_cash":10414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11025},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8053},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6109}]}]},{"description":"Total Knee Femoral Compnt Sz D Left Crfl","code_information":[{"code":"50423","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2849,"maximum":12607,"gross_charge":13778,"discounted_cash":10334,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11849},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2849},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11587},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6062},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12400},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7991},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2849},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6062}]}]},{"description":"External Fixator Set Small (Implants)","code_information":[{"code":"48100","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2807,"maximum":12418,"gross_charge":13572,"discounted_cash":10179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11672},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10776},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12418},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5972},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12215},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7872},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5972}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.50-54","code_information":[{"code":"51036","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2796,"maximum":12371,"gross_charge":13520,"discounted_cash":10140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11370},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5949},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7842},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11627},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5949}]}]},{"description":"Rotat Hinge Nonmod Tib Plate Pmma Sz3","code_information":[{"code":"53189","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2731,"maximum":12083,"gross_charge":13205,"discounted_cash":9904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5810},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11885},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5810}]}]},{"description":"Hip Femoral Stem Sz 16 160mm Versys","code_information":[{"code":"50402","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50402","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2686,"maximum":11883,"gross_charge":12987,"discounted_cash":9740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10922},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7532},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5714}]}]},{"description":"Hip Femoral Stem Sz 14 140mm Versys","code_information":[{"code":"50412","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2686,"maximum":11883,"gross_charge":12987,"discounted_cash":9740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10922},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7532},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5714}]}]},{"description":"Hip Femoral Stem Sz 17 160mm Versys Lm","code_information":[{"code":"50427","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2686,"maximum":11883,"gross_charge":12987,"discounted_cash":9740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10922},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7532},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5714}]}]},{"description":"Ttl Hip Cap Kit Pr Std St/oss Lh Cp/ve","code_information":[{"code":"52856","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2664,"maximum":11788,"gross_charge":12883,"discounted_cash":9662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11079},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10835},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11788},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11079},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2664},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5669}]}]},{"description":"Total Knee Femoral Component Sz 64 Left","code_information":[{"code":"48078","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2617,"maximum":11577,"gross_charge":12653,"discounted_cash":9490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10882},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10046},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10641},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5567},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11388},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2617},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5567}]}]},{"description":"Ttl Knee Femoral Compnt Sz G- Lt Crflex","code_information":[{"code":"51878","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51878","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F- Rt Porous","code_information":[{"code":"51895","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51895","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F- Rt Crflex","code_information":[{"code":"51896","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz D Rt Porous","code_information":[{"code":"51904","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E Rt Crflex","code_information":[{"code":"51910","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F Lt Crflex","code_information":[{"code":"51912","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F- Lt Crflex","code_information":[{"code":"51915","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz G- Rt Crflex","code_information":[{"code":"51916","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51916","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz D Rt Porous","code_information":[{"code":"51917","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz G- Rt Porous","code_information":[{"code":"51921","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E Lt Porous","code_information":[{"code":"51922","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E- Lt Porous","code_information":[{"code":"51923","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E- Rt Porous","code_information":[{"code":"51924","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F- Rt Porous","code_information":[{"code":"51931","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F Rt Crflex","code_information":[{"code":"51936","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz D Lt Porous","code_information":[{"code":"51938","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E Lt Porous","code_information":[{"code":"51939","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51939","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F Rt Porous","code_information":[{"code":"51940","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz F Lt Porous","code_information":[{"code":"51945","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz G Lt Porous","code_information":[{"code":"51950","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz G Rt Porous","code_information":[{"code":"51952","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Ttl Knee Femoral Compnt Sz E Rt Porous","code_information":[{"code":"51960","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2602,"maximum":11513,"gross_charge":12583,"discounted_cash":9437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9991},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5537},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5537}]}]},{"description":"Alteplase Vial 50mg","code_information":[{"code":"312896","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242004413","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2530,"maximum":11193,"gross_charge":12233,"discounted_cash":9175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10520},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10288},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11010},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7095},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10520},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5383}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Shoulder Rotator Cuff Collagen Rpr Patch","code_information":[{"code":"50547","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2473,"maximum":10942,"gross_charge":11959,"discounted_cash":8969,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10058},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5262},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10763},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6936},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5262}]}]},{"description":"Hip Acetblr Liner 40mm Id Sz Ll Vivacit","code_information":[{"code":"51943","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2468,"maximum":10918,"gross_charge":11932,"discounted_cash":8949,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10262},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10035},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10918},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6921},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10262},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5250}]}]},{"description":"Rr-rituximab Vial 500mg/50ml","code_information":[{"code":"304394","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9312","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2461,"maximum":10887,"gross_charge":11898,"discounted_cash":8924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10006},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10887},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5235},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10708},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10232},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5235}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Femoral Ee Cement Mold 75mm","code_information":[{"code":"52297","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2453,"maximum":10855,"gross_charge":11863,"discounted_cash":8897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10855},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5220}]}]},{"description":"36566 Insert Dual Lumen Tunn Catheter","code_information":[{"code":"CP17585603283898351","type":"CDM"},{"code":"510","type":"RC"},{"code":"36566","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2448,"maximum":10832,"gross_charge":11838,"discounted_cash":8879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9956},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10654},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6866},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5209}]}]},{"description":"Hip Acetblr Liner 36mm Id Sz Mm Vivacit","code_information":[{"code":"51948","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2441,"maximum":10799,"gross_charge":11802,"discounted_cash":8852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9371},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10799},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6845},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5193}]}]},{"description":"Or 241-300 10 Units","code_information":[{"code":"17110","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2426,"maximum":10734,"gross_charge":11731,"discounted_cash":8798,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10089},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9866},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10734},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6804},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":5162}]}]},{"description":"Hip Acetabular Shell 62mm O.d. Porous","code_information":[{"code":"51094","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2318,"maximum":10256,"gross_charge":11209,"discounted_cash":8407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9640},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9427},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10256},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":10088},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9640},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4932}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 5 17mm Trbclr","code_information":[{"code":"51848","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 3 14mm Trbclr","code_information":[{"code":"51866","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51866","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 3 12mm Trbclr","code_information":[{"code":"51900","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 7 14mm Trbclr","code_information":[{"code":"51902","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 3 10mm Trbclr","code_information":[{"code":"51918","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51918","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 6 14mm Trbclr","code_information":[{"code":"51919","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51919","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 4 17mm Trbclr","code_information":[{"code":"51920","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 5 12mm Trbclr","code_information":[{"code":"51925","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51925","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 6 10mm Trbclr","code_information":[{"code":"51930","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 5 10mm Trbclr","code_information":[{"code":"51935","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 5 14mm Trbclr","code_information":[{"code":"51937","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 6 12mm Trbclr","code_information":[{"code":"51941","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51941","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 4 12mm Trbclr","code_information":[{"code":"51946","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51946","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 7 10mm Trbclr","code_information":[{"code":"51951","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 8 10mm Trbclr","code_information":[{"code":"51953","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51953","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 4 10mm Trbclr","code_information":[{"code":"51959","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51959","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 7 12mm Trbclr","code_information":[{"code":"52408","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Ttl Knee Tibial Cmpnt Size 4 14mm Trbclr","code_information":[{"code":"52424","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52424","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2288,"maximum":10124,"gross_charge":11064,"discounted_cash":8298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4868}]}]},{"description":"Hip Femoral Stem Small 140mm  Sz 15","code_information":[{"code":"48042","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2198,"maximum":9727,"gross_charge":10631,"discounted_cash":7973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8941},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9727},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4678},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9568},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4678}]}]},{"description":"Ttl Knee Femoral Compnt Sz H Lt Porous","code_information":[{"code":"51906","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2153,"maximum":9528,"gross_charge":10413,"discounted_cash":7810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8955},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8757},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9528},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4582}]}]},{"description":"Ttl Knee Femoral Compnt Sz H Rt Porous","code_information":[{"code":"51911","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2153,"maximum":9528,"gross_charge":10413,"discounted_cash":7810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8955},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8757},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9528},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8955},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4582}]}]},{"description":"Hip Acetabular Shell 48mm O.d. Porous","code_information":[{"code":"50490","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2147,"maximum":9498,"gross_charge":10380,"discounted_cash":7785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8927},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4567},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9342},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8927},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4567}]}]},{"description":"Hip Femoral Stem #5 Cemented","code_information":[{"code":"48384","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2103,"maximum":9305,"gross_charge":10169,"discounted_cash":7627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8745},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8074},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4474},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5898},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4474}]}]},{"description":"Transvenous Pacer","code_information":[{"code":"65468","type":"CDM"},{"code":"450","type":"RC"},{"code":"33210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2062,"maximum":9124,"gross_charge":9972,"discounted_cash":7479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7918},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5784},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4388}]}]},{"description":"Hip Acetabular Shell 54mm O.d. Porous","code_information":[{"code":"50472","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50472","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2054,"maximum":9087,"gross_charge":9931,"discounted_cash":7448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8541},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9087},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4370},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8938},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4370}]}]},{"description":"Hip Acetabular Shell 50mm O.d. Porous","code_information":[{"code":"50477","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2054,"maximum":9087,"gross_charge":9931,"discounted_cash":7448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8541},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9087},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4370},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8938},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4370}]}]},{"description":"Hip Femoral Ceramic Head 36mm +3.5mm L","code_information":[{"code":"51914","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2048,"maximum":9059,"gross_charge":9901,"discounted_cash":7426,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9059},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4356},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8911},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5743},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4356}]}]},{"description":"Mesh Phasix  St Ops 15cm X 20cm Oval","code_information":[{"code":"53010","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2031,"maximum":8987,"gross_charge":9822,"discounted_cash":7367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8447},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8987},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4322},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5697},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4322}]}]},{"description":"Hip Acetblr Liner 32mm Id 50mm Od Vivcit","code_information":[{"code":"51927","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2001,"maximum":8854,"gross_charge":9676,"discounted_cash":7257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8321},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7683},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8854},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8708},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5612},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4257}]}]},{"description":"Mesh Phasix 6 X10","code_information":[{"code":"53008","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1981,"maximum":8764,"gross_charge":9578,"discounted_cash":7184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7605},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4214},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8620},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5555},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4214}]}]},{"description":"Mesh Composix E/x 10 X13","code_information":[{"code":"50245","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50245","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1958,"maximum":8662,"gross_charge":9467,"discounted_cash":7100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7962},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8520},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5491},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4165}]}]},{"description":"Mesh Composix E/x 37x28 Cm","code_information":[{"code":"52482","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1958,"maximum":8662,"gross_charge":9467,"discounted_cash":7100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7962},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8520},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5491},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4165}]}]},{"description":"Or 181-240 9 Units","code_information":[{"code":"17109","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1954,"maximum":8644,"gross_charge":9447,"discounted_cash":7085,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7501},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7945},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8644},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8502},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5479},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4157}]}]},{"description":"Rr-gamunex-c 10% Vial 40gm/400ml","code_information":[{"code":"306088","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1561","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1952,"maximum":8639,"gross_charge":9441,"discounted_cash":7081,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7940},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8639},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5476},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4154}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ttl Knee Cap Kit Psn Cm Fm/cm Tb/ve/ve","code_information":[{"code":"52809","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ttl Knee Cap Kit Psn Cm Fm/cm Tb/ve/ve","code_information":[{"code":"52894","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ttl Knee Cap Kit Psn Tm Fm/tm Tb/mc/nopt","code_information":[{"code":"53112","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ttl Knee Cap Kit Psn Cm Fm/cm Tb/ve/nopt","code_information":[{"code":"53126","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ttl Knee Cap Kit Psn Tm Fm/tm Tb/ve/nopt","code_information":[{"code":"53170","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ttl Knee Cap Kit Kne30mm-psncm Fm/cm Tb/","code_information":[{"code":"53214","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1903,"maximum":8420,"gross_charge":9202,"discounted_cash":6902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4049}]}]},{"description":"Ligasure Impact Open Sealer/divider","code_information":[{"code":"52986","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52986","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1901,"maximum":8413,"gross_charge":9194,"discounted_cash":6896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7907},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7732},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4045},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5333},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7907},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4045}]}]},{"description":"Ttl Knee Tibial Plate Sz 5","code_information":[{"code":"51066","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1876,"maximum":8299,"gross_charge":9070,"discounted_cash":6803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7800},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7628},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8299},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3991},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8163},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5261},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7800},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3991}]}]},{"description":"Mild Device Kit","code_information":[{"code":"52484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1844,"maximum":8161,"gross_charge":8919,"discounted_cash":6689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7082},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3924}]}]},{"description":"Mild Insertable Device","code_information":[{"code":"52520","type":"CDM"},{"code":"272","type":"RC"},{"code":"C1889","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1844,"maximum":8161,"gross_charge":8919,"discounted_cash":6689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7082},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3924}]}]},{"description":"Trochanteric Device W/ Cabels 23x121mm","code_information":[{"code":"51840","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1832,"maximum":8104,"gross_charge":8857,"discounted_cash":6643,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7032},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7449},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3897},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7971},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3897}]}]},{"description":"Cable Integral Long Gtr 23mm X 121mm","code_information":[{"code":"51892","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1831,"maximum":8103,"gross_charge":8856,"discounted_cash":6642,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7616},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7032},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7448},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3897},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7970},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7616},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3897}]}]},{"description":"Wire Set (Instrument)","code_information":[{"code":"48103","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1801,"maximum":7971,"gross_charge":8711,"discounted_cash":6533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7491},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6917},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7326},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7971},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5052},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3833}]}]},{"description":"Hip Femoral Ceramic Head 36mm -3.0mm Nk","code_information":[{"code":"51157","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51157","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1796,"maximum":7948,"gross_charge":8686,"discounted_cash":6515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7948},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3822},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7817},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5038},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3822}]}]},{"description":"Hip Femoral Ceramic Head 28mm +0mm","code_information":[{"code":"51872","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1796,"maximum":7948,"gross_charge":8686,"discounted_cash":6515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7948},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3822},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7817},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5038},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3822}]}]},{"description":"Cmtls Oxf Uni Fm/cmtls/tb/uni","code_information":[{"code":"53205","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1775,"maximum":7854,"gross_charge":8584,"discounted_cash":6438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6816},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7854},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4979},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3777}]}]},{"description":"Cap Hip:  Porous Premium St Oss Lh Cup","code_information":[{"code":"52719","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52719","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1764,"maximum":7806,"gross_charge":8531,"discounted_cash":6398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6774},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3754},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7678},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4948},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3754}]}]},{"description":"Rr-leuprolide Syringe 22.5mg","code_information":[{"code":"304164","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1742,"maximum":7707,"gross_charge":8423,"discounted_cash":6317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7084},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7707},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7581},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4885},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3706}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Total Knee Tibial Component Stemmed Sz 4","code_information":[{"code":"51083","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1734,"maximum":7671,"gross_charge":8384,"discounted_cash":6288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6657},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7051},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7546},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4863},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3689}]}]},{"description":"Rr-privigen 10% Vial 40gm/400ml","code_information":[{"code":"305738","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1459","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1714,"maximum":7583,"gross_charge":8287,"discounted_cash":6215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6969},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7583},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3646},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4806},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3646}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Femoral Stem Large 155mm","code_information":[{"code":"48387","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48387","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1697,"maximum":7507,"gross_charge":8204,"discounted_cash":6153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7055},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6900},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7507},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7384},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7055},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3610}]}]},{"description":"Hip Femoral Stem Large 140mm","code_information":[{"code":"48398","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1697,"maximum":7507,"gross_charge":8204,"discounted_cash":6153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7055},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6900},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7507},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7384},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4758},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7055},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3610}]}]},{"description":"Total Knee Tibial Component Stemmed Sz10","code_information":[{"code":"51093","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1675,"maximum":7412,"gross_charge":8100,"discounted_cash":6075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6966},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6431},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7412},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3564},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4698},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6966},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3564}]}]},{"description":"Hip Acetblr Shell 64mm O.d.trbclr Porous","code_information":[{"code":"51851","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 56mm O.d.trbclr Porous","code_information":[{"code":"51891","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 50mm O.d.trbclr Porous","code_information":[{"code":"51928","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 54mm O.d.trbclr Porous","code_information":[{"code":"51932","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 58mm O.d.trbclr Porous","code_information":[{"code":"51942","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51942","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 60mm O.d.trbclr Porous","code_information":[{"code":"51949","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Hip Acetblr Shell 52mm O.d.trbclr Porous","code_information":[{"code":"51956","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51956","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Patella Reamer Blade W/pilot Hole 41mm","code_information":[{"code":"52296","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1660,"maximum":7345,"gross_charge":8027,"discounted_cash":6020,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3532}]}]},{"description":"Xtrafix Clamp 33mm 1 Bar Small","code_information":[{"code":"51339","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1649,"maximum":7297,"gross_charge":7975,"discounted_cash":5981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6859},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6707},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3509}]}]},{"description":"Xtrafix Graphite Bar","code_information":[{"code":"52275","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1649,"maximum":7297,"gross_charge":7975,"discounted_cash":5981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6859},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6707},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3509},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3509}]}]},{"description":"Total Knee Tibial Component Stemmed Sz 3","code_information":[{"code":"50430","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50430","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1610,"maximum":7124,"gross_charge":7786,"discounted_cash":5840,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6696},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6548},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3426},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7007},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6696},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3426}]}]},{"description":"Tibial Nail 10mm Dia X 34cm","code_information":[{"code":"52072","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52072","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1604,"maximum":7097,"gross_charge":7756,"discounted_cash":5817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7097},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6980},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3413}]}]},{"description":"Or 151-180 8 Units","code_information":[{"code":"17108","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1574,"maximum":6962,"gross_charge":7609,"discounted_cash":5707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6042},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6962},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6848},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4413},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6544},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3348}]}]},{"description":"Open Tx Of Trimalleolar Ankle Fx Wo Fixa","code_information":[{"code":"69528","type":"CDM"},{"code":"450","type":"RC"},{"code":"27822","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1568,"maximum":6939,"gross_charge":7584,"discounted_cash":5688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6522},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6939},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3337},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6826},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4399},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6522},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3337}]}]},{"description":"Ttl Knee Tibial 1/2block Augmt Sz 4 15mm","code_information":[{"code":"51085","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1557,"maximum":6889,"gross_charge":7529,"discounted_cash":5647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6332},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6889},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3313},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6776},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4367},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3313}]}]},{"description":"Essure Birth Control Device","code_information":[{"code":"50368","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1555,"maximum":6878,"gross_charge":7517,"discounted_cash":5638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6465},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5968},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6322},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6878},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6765},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4360},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6465},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3307}]}]},{"description":"Cem Oxf Uni Fm/cm Tb/uni","code_information":[{"code":"53148","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1531,"maximum":6774,"gross_charge":7403,"discounted_cash":5552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5878},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6774},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6663},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4294},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6367},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3257}]}]},{"description":"Total Knee Femoral Compnt Sz F Right Cr","code_information":[{"code":"50406","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1527,"maximum":6755,"gross_charge":7382,"discounted_cash":5537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6755},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4282},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3248}]}]},{"description":"Total Knee Femoral Compnt Sz F Left Cr","code_information":[{"code":"50409","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1527,"maximum":6755,"gross_charge":7382,"discounted_cash":5537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6755},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4282},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3248}]}]},{"description":"Total Knee Femoral Compnt Sz G Left Cr","code_information":[{"code":"50413","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1527,"maximum":6755,"gross_charge":7382,"discounted_cash":5537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6755},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4282},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3248}]}]},{"description":"Gyn Tvt Device Miniarc Single-incision","code_information":[{"code":"52165","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1516,"maximum":6710,"gross_charge":7333,"discounted_cash":5500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6710},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6600},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4253},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3227}]}]},{"description":"Scp Knee Kit","code_information":[{"code":"52341","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1490,"maximum":6594,"gross_charge":7207,"discounted_cash":5405,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6061},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6594},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6486},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4180},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3171}]}]},{"description":"Xtrafix Clamp 33mm 2 Bar Small","code_information":[{"code":"52273","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52273","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1486,"maximum":6574,"gross_charge":7185,"discounted_cash":5389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5705},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6043},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4167},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3161}]}]},{"description":"Total Knee Tibial Component Stemmed Sz 5","code_information":[{"code":"50438","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1478,"maximum":6540,"gross_charge":7148,"discounted_cash":5361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5676},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6011},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6540},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3145}]}]},{"description":"Orthosis Hip Abduction Custom Fabrictd","code_information":[{"code":"51059","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1685","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1446,"maximum":6396,"gross_charge":6990,"discounted_cash":5243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6011},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5550},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5879},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3076},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4054},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6011},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3076}]}]},{"description":"Hip Femoral Stem #2 Cemented","code_information":[{"code":"48448","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48448","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1441,"maximum":6374,"gross_charge":6966,"discounted_cash":5225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5531},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5858},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3065}]}]},{"description":"Hip Femoral Stem #1 Cemented","code_information":[{"code":"48449","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48449","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1441,"maximum":6374,"gross_charge":6966,"discounted_cash":5225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5531},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5858},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3065}]}]},{"description":"Hip Femoral Stem #0 Cemented","code_information":[{"code":"48496","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48496","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1441,"maximum":6374,"gross_charge":6966,"discounted_cash":5225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5531},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5858},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3065}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 10mm","code_information":[{"code":"50408","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1436,"maximum":6353,"gross_charge":6943,"discounted_cash":5207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5971},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5513},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5839},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4027},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5971},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3055}]}]},{"description":"Ligasure Exact Dissector","code_information":[{"code":"52988","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1434,"maximum":6345,"gross_charge":6934,"discounted_cash":5201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5963},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5506},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5831},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3051},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4022},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5963},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3051}]}]},{"description":"Vaginal Birth After Cesarean","code_information":[{"code":"65574","type":"CDM"},{"code":"450","type":"RC"},{"code":"59612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1430,"maximum":6326,"gross_charge":6914,"discounted_cash":5186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5815},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6326},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3042},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3042}]}]},{"description":"Total Knee Femoral Component Sz 69","code_information":[{"code":"48053","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":6307,"gross_charge":6893,"discounted_cash":5170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5928},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5928},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3033}]}]},{"description":"Total Knee Femoral Component Sz 59","code_information":[{"code":"48086","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1425,"maximum":6307,"gross_charge":6893,"discounted_cash":5170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5928},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5797},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3033},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5928},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3033}]}]},{"description":"Total Knee Femoral Compnt Sz F Right Lps","code_information":[{"code":"48341","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1411,"maximum":6242,"gross_charge":6822,"discounted_cash":5117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5867},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5737},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3002},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3957},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5867},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3002}]}]},{"description":"Tibial Nail 10mm Dia X 30cm","code_information":[{"code":"51146","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":6211,"gross_charge":6788,"discounted_cash":5091,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5838},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5709},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2987},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2987}]}]},{"description":"Tibial Nail 11mm Dia X 34cm","code_information":[{"code":"51965","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1404,"maximum":6211,"gross_charge":6788,"discounted_cash":5091,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5838},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5709},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2987},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3937},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2987}]}]},{"description":"Hip Femoral Stem Sz 13 130mm Versys","code_information":[{"code":"52882","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52882","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1400,"maximum":6195,"gross_charge":6771,"discounted_cash":5078,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5823},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5694},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6094},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3927},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5823},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2979}]}]},{"description":"Locking Screw/inst Case 3.5/2.7mm","code_information":[{"code":"52632","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52632","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1393,"maximum":6163,"gross_charge":6736,"discounted_cash":5052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5793},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6062},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5793},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2964}]}]},{"description":"Plate Ncb-ph 4 Hole","code_information":[{"code":"51046","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1390,"maximum":6150,"gross_charge":6721,"discounted_cash":5041,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5780},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5336},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5652},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2957},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":6049},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5780},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2957}]}]},{"description":"Dist Femur Plate 5 Hole Left","code_information":[{"code":"51000","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1375,"maximum":6083,"gross_charge":6648,"discounted_cash":4986,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5717},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5591},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2925},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5983},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3856},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2925}]}]},{"description":"Ttl Knee Tib Artclr Surf.sz E,f 10mm","code_information":[{"code":"51086","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1348,"maximum":5965,"gross_charge":6519,"discounted_cash":4889,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5482},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5965},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5867},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3781},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2868}]}]},{"description":"Rabies Immune Glob Vial 1500u/10ml","code_information":[{"code":"301511","type":"CDM"},{"code":"250","type":"RC"},{"code":"76125015010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1347,"maximum":5960,"gross_charge":6514,"discounted_cash":4886,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5960},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2866},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5863},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3778},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5602},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2866}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Hip Acetblr Shell 56mm O.d.trbclr Clustr","code_information":[{"code":"51857","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1346,"maximum":5955,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5597},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2864},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2864}]}]},{"description":"Hip Acetblr Shell 60mm O.d.trbclr Porous","code_information":[{"code":"51877","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51877","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1346,"maximum":5955,"gross_charge":6508,"discounted_cash":4881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5597},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5955},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2864},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2864}]}]},{"description":"Hip Acetabular Liner 36mm I.d. O.d.62mm","code_information":[{"code":"51095","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1318,"maximum":5830,"gross_charge":6372,"discounted_cash":4779,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5059},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5830},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2804},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3696},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2804}]}]},{"description":"Rr-gammagard 10% Vial 30gm/300ml","code_information":[{"code":"306923","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1569","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1317,"maximum":5829,"gross_charge":6370,"discounted_cash":4778,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5829},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2803}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Or 121-150 7 Units","code_information":[{"code":"17107","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1310,"maximum":5795,"gross_charge":6333,"discounted_cash":4750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5446},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5028},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5326},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5795},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5700},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3673},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5446},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2787}]}]},{"description":"Comp Primary Stem 11mm Micro","code_information":[{"code":"53161","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1287,"maximum":5692,"gross_charge":6221,"discounted_cash":4666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4939},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2737}]}]},{"description":"Comp Primary Stem 10mm Micro","code_information":[{"code":"53178","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53178","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1287,"maximum":5692,"gross_charge":6221,"discounted_cash":4666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4939},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2737}]}]},{"description":"Comp Primary Stem 14mm Micro","code_information":[{"code":"53222","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1287,"maximum":5692,"gross_charge":6221,"discounted_cash":4666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4939},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2737},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3608},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2737}]}]},{"description":"Cmn Femoral Nail 130deg Angle 13mm21.5cm","code_information":[{"code":"51839","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Femoral Nail 13mm Dia X 21.5cm 125deg","code_information":[{"code":"51843","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Pin Threaded 3.0mm X305mm","code_information":[{"code":"52307","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Drill Calibrated 4.3mm Long","code_information":[{"code":"52309","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52309","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Z Nail Cpm 10mm X 21.5cm 130r","code_information":[{"code":"52310","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Drill Standard 1.8mm","code_information":[{"code":"52391","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52391","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Pin Threaded 3.2mm X508mm","code_information":[{"code":"53208","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1284,"maximum":5683,"gross_charge":6211,"discounted_cash":4658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2733}]}]},{"description":"Psn Fem Cr Cmt Tin Stdsz 7 L","code_information":[{"code":"52955","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1281,"maximum":5668,"gross_charge":6194,"discounted_cash":4646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5327},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4918},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5575},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5327},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2725}]}]},{"description":"Ligasure Blunt Tip Lap Sealer/divider","code_information":[{"code":"52987","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1279,"maximum":5660,"gross_charge":6186,"discounted_cash":4640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5320},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4912},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5660},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2722},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5567},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3588},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5320},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2722}]}]},{"description":"Rr-xgeva Vial 120mg","code_information":[{"code":"305927","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0897","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1275,"maximum":5639,"gross_charge":6163,"discounted_cash":4622,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5300},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4893},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5639},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2712},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5547},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2712}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ttl Knee Tib Artclr Surf.sz E,f 12mm","code_information":[{"code":"50799","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50799","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1257,"maximum":5560,"gross_charge":6077,"discounted_cash":4558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4825},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5560},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2674},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5469},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3525},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2674}]}]},{"description":"Mesh Phasix  Large  C Strap 3.2","code_information":[{"code":"53147","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1249,"maximum":5525,"gross_charge":6038,"discounted_cash":4529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5078},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5525},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2657},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3502},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2657}]}]},{"description":"Ttl Knee Tib Artclr Surf.sz E,f 17mm","code_information":[{"code":"51067","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1242,"maximum":5497,"gross_charge":6008,"discounted_cash":4506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4770},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5053},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5497},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5407},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3485},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2644}]}]},{"description":"Mesh Composix E/x  7 X9","code_information":[{"code":"50244","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1241,"maximum":5492,"gross_charge":6002,"discounted_cash":4502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5048},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2641}]}]},{"description":"Rr-darbepoetin Inj. 500mcg/ml","code_information":[{"code":"304501","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1215,"maximum":5377,"gross_charge":5877,"discounted_cash":4408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4666},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5377},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5289},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3409},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2586}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rotat Hinge Articular Surface,d,20mm","code_information":[{"code":"53190","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53190","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1214,"maximum":5373,"gross_charge":5872,"discounted_cash":4404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5050},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4662},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4938},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5373},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2584},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5285},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3406},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5050},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2584}]}]},{"description":"Hip Acetblr Liner 40mm Id Sz Oo Vivacit","code_information":[{"code":"51852","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51852","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 36mm Id Sz Kk Vivacit","code_information":[{"code":"51854","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 40mm Id Sz Mm Vivacit","code_information":[{"code":"51876","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51876","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 40mm Id Sz Kk Vivacit","code_information":[{"code":"51890","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 36mm Id Sz Ll Vivacit","code_information":[{"code":"51913","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 36mm Id Sz Jj Vivacit","code_information":[{"code":"51933","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Hip Acetblr Liner 36mm Id Sz Ii Vivacit","code_information":[{"code":"51955","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1211,"maximum":5359,"gross_charge":5857,"discounted_cash":4393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2577}]}]},{"description":"Removal of polyps or growths of large bowel using an endoscope","code_information":[{"code":"CP17585603409749210","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1187,"maximum":5254,"gross_charge":5742,"discounted_cash":4307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4829},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2526}]}]},{"description":"Biopsy exam of large bowel using an endoscope","code_information":[{"code":"CP17585603409740544","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1173,"maximum":5191,"gross_charge":5673,"discounted_cash":4255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4879},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2496},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4879},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2496}]}]},{"description":"Hip Acetabular Liner 36mm I.d. O.d.50-54","code_information":[{"code":"50471","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1173,"maximum":5191,"gross_charge":5673,"discounted_cash":4255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4879},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2496},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4879},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2496}]}]},{"description":"Tibial Ee Cement Mold 85mm","code_information":[{"code":"52298","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52298","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1164,"maximum":5149,"gross_charge":5627,"discounted_cash":4220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4839},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4468},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4732},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5149},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2476},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5064},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4839},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2476}]}]},{"description":"Hip Femoral Stem Sz 11 120mm Versys","code_information":[{"code":"48446","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1162,"maximum":5142,"gross_charge":5620,"discounted_cash":4215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Hip Femoral Stem Sz 14 135mm Versys","code_information":[{"code":"48447","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48447","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1162,"maximum":5142,"gross_charge":5620,"discounted_cash":4215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Hip Femoral Stem Sz 12 125mm Versys","code_information":[{"code":"48454","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1162,"maximum":5142,"gross_charge":5620,"discounted_cash":4215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4462},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4833},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2473}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 12mm","code_information":[{"code":"50405","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50405","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1149,"maximum":5083,"gross_charge":5555,"discounted_cash":4166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2444}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 10mm C","code_information":[{"code":"50432","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1149,"maximum":5083,"gross_charge":5555,"discounted_cash":4166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2444}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 14mm","code_information":[{"code":"50434","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1149,"maximum":5083,"gross_charge":5555,"discounted_cash":4166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2444}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 10mm C","code_information":[{"code":"50456","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50456","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1149,"maximum":5083,"gross_charge":5555,"discounted_cash":4166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2444}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 12mm C","code_information":[{"code":"50485","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1149,"maximum":5083,"gross_charge":5555,"discounted_cash":4166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5000},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2444}]}]},{"description":"Z Nail Cpm 10mm X 40 Cm 125 R","code_information":[{"code":"52959","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52959","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1136,"maximum":5028,"gross_charge":5495,"discounted_cash":4121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4946},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2418}]}]},{"description":"Plate Periart.locking Latrl.humrl.8hlft","code_information":[{"code":"51023","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1134,"maximum":5018,"gross_charge":5484,"discounted_cash":4113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4716},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4354},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4612},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5018},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2413},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4936},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2413}]}]},{"description":"Insert Per Cent Venous Acc Dev W Port >5","code_information":[{"code":"17502","type":"CDM"},{"code":"761","type":"RC"},{"code":"36571","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1132,"maximum":5008,"gross_charge":5473,"discounted_cash":4105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2408}]}]},{"description":"Replace Cath Only Of Cent Ven Acc Dev; W","code_information":[{"code":"17504","type":"CDM"},{"code":"761","type":"RC"},{"code":"36578","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1132,"maximum":5008,"gross_charge":5473,"discounted_cash":4105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4603},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4707},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2408}]}]},{"description":"Mesh Phasix  St Ops 10cm X 15cm Oval","code_information":[{"code":"53012","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1104,"maximum":4885,"gross_charge":5339,"discounted_cash":4004,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4592},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4885},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3097},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4592},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2349}]}]},{"description":"Plate Ncb-distal Femur 5 Hole 167mm","code_information":[{"code":"51977","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1102,"maximum":4877,"gross_charge":5330,"discounted_cash":3998,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4483},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4877},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2345},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4797},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3091},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2345}]}]},{"description":"Biopsy exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17585603409749898","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1100,"maximum":4869,"gross_charge":5321,"discounted_cash":3991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4225},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4475},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4869},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4789},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3086},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2341}]}]},{"description":"Im Nail Humeral Recon 8mm X 21cm","code_information":[{"code":"51992","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1097,"maximum":4852,"gross_charge":5303,"discounted_cash":3977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4561},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4460},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4852},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3076},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4561},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2333}]}]},{"description":"Or 91-120 6 Units","code_information":[{"code":"17106","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1096,"maximum":4850,"gross_charge":5301,"discounted_cash":3976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4850},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2332},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4771},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3075},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4559},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2332}]}]},{"description":"Gyn Novasure Ablation Catheter","code_information":[{"code":"52104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1095,"maximum":4843,"gross_charge":5293,"discounted_cash":3970,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4451},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2329}]}]},{"description":"Mesh Phasix 4 X8","code_information":[{"code":"53007","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Mesh Phasix 4 X6","code_information":[{"code":"53098","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Mesh Phasix10 X12","code_information":[{"code":"53099","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Mesh Phasix St 10 X15","code_information":[{"code":"53100","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Mesh Phasix St 25 X30","code_information":[{"code":"53101","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Mesh Phasix  6 X8","code_information":[{"code":"53122","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1086,"maximum":4805,"gross_charge":5251,"discounted_cash":3938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2310}]}]},{"description":"Hip Femoral Ceramic Head 36mm -3.0mm Nk","code_information":[{"code":"51096","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Hip Femoral Ceramic Head 40mm -3.5mm Nk","code_information":[{"code":"51853","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51853","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Hip Femoral Ceramic Head 36mm 3.5mm Nk","code_information":[{"code":"51860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Hip Femoral Ceramic Head 36mm 0.0mm Nk","code_information":[{"code":"51934","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Hip Femoral Ceramic Head 40mm 0.0mm Nk","code_information":[{"code":"51944","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51944","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Hip Femoral Ceramic Head 36mm -3.5mm Nk","code_information":[{"code":"51947","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1077,"maximum":4764,"gross_charge":5207,"discounted_cash":3905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2291}]}]},{"description":"Ccpplevonorgestrel Iud 20mcg/24hr","code_information":[{"code":"304458","type":"CDM"},{"code":"250","type":"RC"},{"code":"J7298","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1070,"maximum":4732,"gross_charge":5172,"discounted_cash":3879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4732},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4655},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3000},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2276}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Mesh Phasix  St Wecho 4x6","code_information":[{"code":"53009","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1064,"maximum":4710,"gross_charge":5147,"discounted_cash":3860,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4087},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4710},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4632},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2265}]}]},{"description":"Rr-gamunex-c 10% Vial 20gm/200ml","code_information":[{"code":"304981","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1561","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1059,"maximum":4684,"gross_charge":5119,"discounted_cash":3839,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4064},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4684},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2969},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2252}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ex.fix. Kitwrist/hand","code_information":[{"code":"48166","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48166","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1050,"maximum":4645,"gross_charge":5077,"discounted_cash":3808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4031},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4270},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4645},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4569},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2945},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2234}]}]},{"description":"Puraply Xt Antimicrobial Wound Matrix","code_information":[{"code":"52975","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1034,"maximum":4574,"gross_charge":4999,"discounted_cash":3749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3969},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2899},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2200}]}]},{"description":"Hip Femoral Stem #3 Reliance","code_information":[{"code":"48374","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48374","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1032,"maximum":4567,"gross_charge":4991,"discounted_cash":3743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3963},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4197},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4492},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2895},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2196}]}]},{"description":"Mesh Phasix  Medium  C Strap 2.5","code_information":[{"code":"53146","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1030,"maximum":4558,"gross_charge":4981,"discounted_cash":3736,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3955},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4558},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4483},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2889},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2192}]}]},{"description":"Humeral Stem & Headlarge","code_information":[{"code":"48350","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1028,"maximum":4547,"gross_charge":4969,"discounted_cash":3727,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4273},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3945},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4547},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2186}]}]},{"description":"Plate Periart.lock.prox.ltrl.tibl.rt 12h","code_information":[{"code":"51147","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1027,"maximum":4544,"gross_charge":4966,"discounted_cash":3725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4271},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4544},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4469},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2880},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4271},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2185}]}]},{"description":"Ttl Knee Femoral Compnt Sz 08 Rt Standrd","code_information":[{"code":"52530","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52530","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1021,"maximum":4517,"gross_charge":4937,"discounted_cash":3703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3920},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4152},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4517},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2172}]}]},{"description":"Ttl Knee Femoral Compnt Sz 08 Lt Standrd","code_information":[{"code":"52901","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1021,"maximum":4517,"gross_charge":4937,"discounted_cash":3703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3920},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4152},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4517},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2863},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2172}]}]},{"description":"Gyn Tvt Obturator","code_information":[{"code":"50321","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1006,"maximum":4450,"gross_charge":4863,"discounted_cash":3647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4090},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"Gyn Tvt Device W/blue Mesh","code_information":[{"code":"50330","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1006,"maximum":4450,"gross_charge":4863,"discounted_cash":3647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4090},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2821},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2140}]}]},{"description":"M/l Taper 13.5 Ext","code_information":[{"code":"52718","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52718","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 11std","code_information":[{"code":"52817","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52817","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 12.5 Ext","code_information":[{"code":"52827","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 12.5 Std Reduced Neck Length","code_information":[{"code":"52831","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52831","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 5 Std","code_information":[{"code":"52857","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 15 Std","code_information":[{"code":"52872","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 10 Ext","code_information":[{"code":"52904","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 10std","code_information":[{"code":"52938","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 12.5 Std","code_information":[{"code":"52949","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 9std","code_information":[{"code":"52970","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 9 Std Reduced Neck Length","code_information":[{"code":"53017","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"M/l Taper 11 Std Reduced Neck Length","code_information":[{"code":"53033","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1005,"maximum":4446,"gross_charge":4859,"discounted_cash":3644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2138}]}]},{"description":"Rotat Hinge Full Tib Agmt Blk 10mm,sz3","code_information":[{"code":"53187","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":995,"maximum":4404,"gross_charge":4813,"discounted_cash":3610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4048},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4332},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2118}]}]},{"description":"Rr-velcade Vial 3.5mg","code_information":[{"code":"306517","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9041","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":982,"maximum":4346,"gross_charge":4750,"discounted_cash":3563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4085},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3772},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3995},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4346},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4085},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2090}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-actemra Vial 400mg/20ml","code_information":[{"code":"306168","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3262","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":981,"maximum":4341,"gross_charge":4744,"discounted_cash":3558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4080},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3990},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4341},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2752},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4080},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2087}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Acetabular Liner 32mm I.d. O.d.48mm","code_information":[{"code":"50492","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":981,"maximum":4340,"gross_charge":4743,"discounted_cash":3557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4079},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3989},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4079},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2087}]}]},{"description":"Plate Periart.lock.prox.ltrl.tibl.rt 4h","code_information":[{"code":"51142","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":979,"maximum":4330,"gross_charge":4732,"discounted_cash":3549,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4070},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3757},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3980},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4259},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4070},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2082}]}]},{"description":"Ttl Knee Femoral Compnt Sz 10 Rt Standrd","code_information":[{"code":"51847","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz9 R","code_information":[{"code":"52811","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz9 L","code_information":[{"code":"52833","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Ttl Knee Femoral Compnt Sz 07 Rt Standrd","code_information":[{"code":"52841","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Nrw Sz7 L","code_information":[{"code":"52861","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Nrw Sz6 L","code_information":[{"code":"52867","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmtccr Sz 10 Rt Standrd","code_information":[{"code":"52876","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52876","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz9 L","code_information":[{"code":"52877","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52877","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Nrw Sz9 L","code_information":[{"code":"52878","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52878","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz 6 R","code_information":[{"code":"52885","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52885","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz7 L","code_information":[{"code":"52928","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz 7 R","code_information":[{"code":"52932","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz 8 R","code_information":[{"code":"52936","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz10 L","code_information":[{"code":"52942","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52942","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz 8 L","code_information":[{"code":"52963","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Std Sz12 L","code_information":[{"code":"52965","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz8 R","code_information":[{"code":"52967","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Std Sz9 L","code_information":[{"code":"52974","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52974","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Ps Cmt Ccr Std Sz5 R","code_information":[{"code":"52980","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Cocr Nrw Sz 8 L","code_information":[{"code":"52984","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz9 L","code_information":[{"code":"53001","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Std Sz 11 L","code_information":[{"code":"53019","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz 10 R","code_information":[{"code":"53215","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":972,"maximum":4302,"gross_charge":4702,"discounted_cash":3527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3733},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3954},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2069},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2069}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.rt18h","code_information":[{"code":"52739","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52739","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":965,"maximum":4270,"gross_charge":4667,"discounted_cash":3500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4014},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4014},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2053}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt18h","code_information":[{"code":"52743","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52743","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":965,"maximum":4270,"gross_charge":4667,"discounted_cash":3500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4014},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4014},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2053}]}]},{"description":"Total Knee Tibial Component Stemmed Sz 6","code_information":[{"code":"48342","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":965,"maximum":4268,"gross_charge":4665,"discounted_cash":3499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2053}]}]},{"description":"Total Knee Tibial Component Stemmed Sz 2","code_information":[{"code":"50422","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":965,"maximum":4268,"gross_charge":4665,"discounted_cash":3499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2053}]}]},{"description":"Total Knee Tibial Component Stemmed Sz 7","code_information":[{"code":"50458","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":965,"maximum":4268,"gross_charge":4665,"discounted_cash":3499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3704},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3923},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2706},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2053}]}]},{"description":"Im Nail Humeral M/dn 8mm X 22.5cm","code_information":[{"code":"51971","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":963,"maximum":4262,"gross_charge":4658,"discounted_cash":3494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3917},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4262},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2050}]}]},{"description":"Im Nail Humeral M/dn 7mm X 22.5cm","code_information":[{"code":"52134","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":963,"maximum":4262,"gross_charge":4658,"discounted_cash":3494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3917},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4262},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2050}]}]},{"description":"Im Nail Humeral M/dn 7mm X 25.5cm","code_information":[{"code":"52135","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":963,"maximum":4262,"gross_charge":4658,"discounted_cash":3494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3917},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4262},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4006},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2050}]}]},{"description":"Plate Periart.locking Latrl.humrl.16hlft","code_information":[{"code":"52579","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52579","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":962,"maximum":4257,"gross_charge":4653,"discounted_cash":3490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4002},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3694},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3913},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4002},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2047}]}]},{"description":"Mesh Pelvisoft 6cm X 8cm Acellular Colgn","code_information":[{"code":"50346","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50346","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":961,"maximum":4254,"gross_charge":4649,"discounted_cash":3487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3998},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3691},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3910},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3998},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2046}]}]},{"description":"Plate Periart.locking Latrl.humrl.16h Rt","code_information":[{"code":"52574","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52574","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":953,"maximum":4217,"gross_charge":4609,"discounted_cash":3457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3876},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2028}]}]},{"description":"Hip Acetabular Shell 56mm O.d. Sz P4","code_information":[{"code":"48372","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48372","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":951,"maximum":4210,"gross_charge":4601,"discounted_cash":3451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3653},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2024}]}]},{"description":"CT scan of abdomen and pelvis with contrast","code_information":[{"code":"39485","type":"CDM"},{"code":"350","type":"RC"},{"code":"74177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":946,"maximum":4187,"gross_charge":4576,"discounted_cash":3432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3633},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3848},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2654},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2013}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.rt18h","code_information":[{"code":"52732","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52732","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":944,"maximum":4176,"gross_charge":4564,"discounted_cash":3423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3624},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2647},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2008}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.lt18h","code_information":[{"code":"52735","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52735","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":944,"maximum":4176,"gross_charge":4564,"discounted_cash":3423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3624},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2647},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2008}]}]},{"description":"Hip Femoral Ceramic Head 32mm 0.0mm Nk","code_information":[{"code":"51926","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51926","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":942,"maximum":4169,"gross_charge":4556,"discounted_cash":3417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3918},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2005},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3918},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2005}]}]},{"description":"Rr-simponi Aria Inj 12.5mg/ml","code_information":[{"code":"306795","type":"CDM"},{"code":"272","type":"RC"},{"code":"J1602","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":942,"maximum":4166,"gross_charge":4553,"discounted_cash":3415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3829},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4166},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4098},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2003}]}]},{"description":"Hip Acetabular Liner 32mm I.d. O.d.50-54","code_information":[{"code":"50478","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":4152,"gross_charge":4538,"discounted_cash":3404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3816},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1997},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4084},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1997}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.rt14h","code_information":[{"code":"52738","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52738","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":4150,"gross_charge":4535,"discounted_cash":3401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3601},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4082},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1995}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt14h","code_information":[{"code":"52742","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52742","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":938,"maximum":4150,"gross_charge":4535,"discounted_cash":3401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3601},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3814},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4082},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1995}]}]},{"description":"Rr-privigen 10% Vial 20gm/200ml","code_information":[{"code":"304434","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1459","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":937,"maximum":4146,"gross_charge":4531,"discounted_cash":3398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3897},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3598},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3811},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4078},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2628},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3897},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1994}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diagnostic exam of large bowel using an endoscope","code_information":[{"code":"CP17585603409749728","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":935,"maximum":4138,"gross_charge":4522,"discounted_cash":3392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3803},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1990},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4070},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2623},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3889},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1990}]}]},{"description":"Ttl Knee Femoral Compnt Sz 07 Rt Standrd","code_information":[{"code":"52915","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":935,"maximum":4137,"gross_charge":4521,"discounted_cash":3391,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3888},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3802},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4069},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3888},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1989}]}]},{"description":"Plate Periart.locking Latrl.humrl.12h Rt","code_information":[{"code":"52573","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52573","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":935,"maximum":4136,"gross_charge":4520,"discounted_cash":3390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4068},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1989}]}]},{"description":"Plate Periart.locking Latrl.humrl.12hlft","code_information":[{"code":"52578","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":935,"maximum":4136,"gross_charge":4520,"discounted_cash":3390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3801},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4068},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1989}]}]},{"description":"Cable Device Long Gtr","code_information":[{"code":"50452","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50452","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":924,"maximum":4090,"gross_charge":4470,"discounted_cash":3353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3844},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3549},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4023},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3844},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1967}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.rt14h","code_information":[{"code":"50535","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":923,"maximum":4082,"gross_charge":4461,"discounted_cash":3346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3836},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3752},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4082},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4015},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3836},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1963}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.rt10h","code_information":[{"code":"52737","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52737","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":917,"maximum":4055,"gross_charge":4432,"discounted_cash":3324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3727},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3989},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1950}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt10h","code_information":[{"code":"52741","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52741","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":917,"maximum":4055,"gross_charge":4432,"discounted_cash":3324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3519},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3727},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4055},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3989},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1950}]}]},{"description":"Plate Periart.locking Latrl.humrl.8h Rt","code_information":[{"code":"52572","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52572","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"Plate Periart.locking Latrl.humrl.8hlft","code_information":[{"code":"52577","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52577","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"G7 Dual Mobility Liner 44mm F","code_information":[{"code":"52714","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52714","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"G7 Dual Mobility Liner 42mm F","code_information":[{"code":"52829","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"G7 Dual Mobility Liner 46mm G","code_information":[{"code":"52873","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"G7 Dual Mobility Liner 40mm D","code_information":[{"code":"52898","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52898","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"G7 Dual Mobility Liner 38mm C","code_information":[{"code":"52971","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":913,"maximum":4042,"gross_charge":4417,"discounted_cash":3313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3715},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4042},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1943}]}]},{"description":"Prothrombin Complex 4-fac 1000units Vial","code_information":[{"code":"312798","type":"CDM"},{"code":"250","type":"RC"},{"code":"63833038702","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":913,"maximum":4038,"gross_charge":4413,"discounted_cash":3310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3795},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3711},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4038},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3972},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3795},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1942}]}],"drug_information":{"unit":1000,"type":"UN"}},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt 8h","code_information":[{"code":"51112","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":910,"maximum":4028,"gross_charge":4402,"discounted_cash":3302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1937}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.rt 8h","code_information":[{"code":"52736","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":910,"maximum":4028,"gross_charge":4402,"discounted_cash":3302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1937}]}]},{"description":"Hip Explant Bladesmall","code_information":[{"code":"51097","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":910,"maximum":4028,"gross_charge":4402,"discounted_cash":3302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1937}]}]},{"description":"Hip Explant Bladelarge","code_information":[{"code":"51098","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":910,"maximum":4028,"gross_charge":4402,"discounted_cash":3302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3962},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1937}]}]},{"description":"Hip Acetabular Shell 58mm O.d. Sz P5","code_information":[{"code":"48381","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48381","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":906,"maximum":4010,"gross_charge":4382,"discounted_cash":3287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3944},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1928}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.rt10h","code_information":[{"code":"52731","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":901,"maximum":3988,"gross_charge":4358,"discounted_cash":3269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3460},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1918}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.lt10h","code_information":[{"code":"52733","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":901,"maximum":3988,"gross_charge":4358,"discounted_cash":3269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3460},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1918}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.lt14h","code_information":[{"code":"52734","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":901,"maximum":3988,"gross_charge":4358,"discounted_cash":3269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3460},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1918}]}]},{"description":"Dress Avitene 70mmx70mm Absorb Hemostat","code_information":[{"code":"49801","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":899,"maximum":3977,"gross_charge":4346,"discounted_cash":3260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3738},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3451},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3655},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3977},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1912},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3911},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3738},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1912}]}]},{"description":"Hip Acetabular Shell 60mm O.d.","code_information":[{"code":"50403","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":896,"maximum":3963,"gross_charge":4331,"discounted_cash":3248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3725},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3898},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2512},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3725},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1906}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.lt 8h","code_information":[{"code":"51101","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.rt 6h","code_information":[{"code":"51132","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"5plate Periart.locking Latrl.humrl.6h Rt","code_information":[{"code":"52571","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52571","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Plate Periart.locking Latrl.humrl.6hlft","code_information":[{"code":"52576","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.rt 8h","code_information":[{"code":"52730","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt 6h","code_information":[{"code":"52740","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52740","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Plate Periart.lock.distl.ltrl.tibl.lt 8h","code_information":[{"code":"52972","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3934,"gross_charge":4299,"discounted_cash":3224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1892}]}]},{"description":"Hip Acetabular Liner 36mm I.d. O.d.60mm","code_information":[{"code":"50428","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3932,"gross_charge":4297,"discounted_cash":3223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1891}]}]},{"description":"Gastrectomy Partial Distal","code_information":[{"code":"CP17585600566635964","type":"CDM"},{"code":"521","type":"RC"},{"code":"43633","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3932,"gross_charge":4297,"discounted_cash":3223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1891}]}]},{"description":"Gastrectomy Partial Distal","code_information":[{"code":"CP17585603283913438","type":"CDM"},{"code":"510","type":"RC"},{"code":"43633","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":889,"maximum":3932,"gross_charge":4297,"discounted_cash":3223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3614},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3867},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3695},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1891}]}]},{"description":"27134 Arty-rev Of T/hip Both Components","code_information":[{"code":"CP17585603283879232","type":"CDM"},{"code":"510","type":"RC"},{"code":"27134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":887,"maximum":3924,"gross_charge":4289,"discounted_cash":3217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3689},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3924},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3860},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2488},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3689},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1887}]}]},{"description":"Ttl Knee Tibial Cmpnt Stem 13mm X 145mm","code_information":[{"code":"51064","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":882,"maximum":3904,"gross_charge":4267,"discounted_cash":3200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3589},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1877}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.lt 6h","code_information":[{"code":"51125","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":880,"maximum":3893,"gross_charge":4255,"discounted_cash":3191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3893},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1872}]}]},{"description":"Plate Periart.lock.distl.medl.tibl.rt 6h","code_information":[{"code":"52729","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52729","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":880,"maximum":3893,"gross_charge":4255,"discounted_cash":3191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3893},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3830},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3659},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1872}]}]},{"description":"Xtrafix Bar/pin Clamp 2d Ind Locking","code_information":[{"code":"52414","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":880,"maximum":3891,"gross_charge":4253,"discounted_cash":3190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3658},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3891},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3658},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1871}]}]},{"description":"Rr-gammagard 10% Vial 20gm/200ml","code_information":[{"code":"306922","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1569","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":878,"maximum":3886,"gross_charge":4247,"discounted_cash":3185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3652},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3372},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3572},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3886},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3822},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3652},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1869}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gyn Thermachoice Ablation Catheter","code_information":[{"code":"50317","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":878,"maximum":3883,"gross_charge":4244,"discounted_cash":3183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3370},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3569},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3820},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2462},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3650},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1867}]}]},{"description":"Hip Acetblr Constraind Lnr 32mmid/od60mm","code_information":[{"code":"50489","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":875,"maximum":3873,"gross_charge":4233,"discounted_cash":3175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3640},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3361},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3560},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3873},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3810},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3640},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1863}]}]},{"description":"Rr-darbepoetin Inj. 200mcg/ml","code_information":[{"code":"304013","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":875,"maximum":3870,"gross_charge":4229,"discounted_cash":3172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3637},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3557},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3870},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3806},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3637},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1861}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Im Nail Humeral Recon 6mm X 24cm","code_information":[{"code":"50512","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50512","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":868,"maximum":3841,"gross_charge":4198,"discounted_cash":3149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3531},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1847},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3778},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1847}]}]},{"description":"Plate Ss Dhs 95 Deg 10 Hole 178mm","code_information":[{"code":"48265","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":866,"maximum":3832,"gross_charge":4188,"discounted_cash":3141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3602},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1843}]}]},{"description":"Plate Periart.locking Latrl.humrl.4h Rt","code_information":[{"code":"52570","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":862,"maximum":3813,"gross_charge":4167,"discounted_cash":3125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3504},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1833}]}]},{"description":"Plate Periart.locking Latrl.humrl.4hlft","code_information":[{"code":"52575","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52575","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":862,"maximum":3813,"gross_charge":4167,"discounted_cash":3125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3504},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3750},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1833}]}]},{"description":"Mesh Phasix  Small  C Strap 1.7","code_information":[{"code":"53145","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":862,"maximum":3812,"gross_charge":4166,"discounted_cash":3125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3583},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3504},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3812},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3749},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2416},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1833}]}]},{"description":"Or 61-90 5 Units","code_information":[{"code":"17105","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":858,"maximum":3797,"gross_charge":4150,"discounted_cash":3113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3569},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3797},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2407},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3569},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1826}]}]},{"description":"Orthosis Tlso Custom Fabricated","code_information":[{"code":"50287","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0486","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":858,"maximum":3796,"gross_charge":4149,"discounted_cash":3112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3796},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1826}]}]},{"description":"Nexgen Straight Stem Ext 12mm Diax145mm,","code_information":[{"code":"53186","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53186","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":853,"maximum":3775,"gross_charge":4126,"discounted_cash":3095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3775},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3713},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1815}]}]},{"description":"Diagnostic exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17585603409746690","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":851,"maximum":3767,"gross_charge":4117,"discounted_cash":3088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3541},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3462},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3767},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3705},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1811}]}]},{"description":"44141 Colectomy Part W/colostomy Or Ceco","code_information":[{"code":"CP17585603283893099","type":"CDM"},{"code":"510","type":"RC"},{"code":"44141","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":845,"maximum":3740,"gross_charge":4087,"discounted_cash":3065,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3740},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3678},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3515},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1798}]}]},{"description":"Hip Acetabular Shell 64mm O.d.","code_information":[{"code":"48046","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":840,"maximum":3716,"gross_charge":4061,"discounted_cash":3046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3415},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3655},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3492},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1787}]}]},{"description":"Psn Fem Cr Cmt Ccr Nrw Sz 8 R","code_information":[{"code":"52933","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Cmt Cocr Std Sz 10 R","code_information":[{"code":"53096","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Pps Ccr Nrw Sz 8 L","code_information":[{"code":"53116","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Pps Ccr Nrw Sz 10 L","code_information":[{"code":"53135","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz11 R","code_information":[{"code":"53171","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53171","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Pps Ccr Nrw Sz 6 L","code_information":[{"code":"53184","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53184","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Psn Fem Cr Pps Ccr Nrw Sz 7 L","code_information":[{"code":"53202","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":832,"maximum":3682,"gross_charge":4024,"discounted_cash":3018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3461},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1771}]}]},{"description":"Total Knee Tibial Tray Sz 59","code_information":[{"code":"48088","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":3676,"gross_charge":4017,"discounted_cash":3013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1767}]}]},{"description":"Total Knee Tibial Tray Sz 69","code_information":[{"code":"48348","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48348","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":831,"maximum":3676,"gross_charge":4017,"discounted_cash":3013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3676},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3615},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1767}]}]},{"description":".Fbn1 (Fibrillin 1) (Eg, Marfan Syndrome","code_information":[{"code":"757272","type":"CDM"},{"code":"310","type":"RC"},{"code":"81408","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":828,"maximum":3665,"gross_charge":4005,"discounted_cash":3004,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3605},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1762}]}]},{"description":".Molecular Pathology Procedure  Level 9","code_information":[{"code":"757352","type":"CDM"},{"code":"310","type":"RC"},{"code":"81408","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":828,"maximum":3665,"gross_charge":4005,"discounted_cash":3004,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3665},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3605},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3444},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1762}]}]},{"description":"Cable Device Grip System Short","code_information":[{"code":"52564","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":815,"maximum":3607,"gross_charge":3942,"discounted_cash":2957,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1734}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"CP17585603409751703","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":814,"maximum":3601,"gross_charge":3936,"discounted_cash":2952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3310},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3601},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1732}]}]},{"description":"Ttl Knee Tibial Cmpnt Stem 18mm X 145mm","code_information":[{"code":"51065","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":813,"maximum":3599,"gross_charge":3933,"discounted_cash":2950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3382},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3599},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3540},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3382},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1731}]}]},{"description":"27487 Revision Total Knee Arthroplasty","code_information":[{"code":"CP17585603283875190","type":"CDM"},{"code":"510","type":"RC"},{"code":"27487","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":813,"maximum":3597,"gross_charge":3931,"discounted_cash":2948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3381},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3597},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3538},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3381},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1730}]}]},{"description":"Total Knee Tibial Tray Sz 69+","code_information":[{"code":"48052","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":808,"maximum":3577,"gross_charge":3909,"discounted_cash":2932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1720}]}]},{"description":"Total Knee Tibial Tray Sz 64","code_information":[{"code":"48075","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":808,"maximum":3577,"gross_charge":3909,"discounted_cash":2932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1720}]}]},{"description":"Z Nail Cpm 11.5mm X 21.5 Cm 125 R","code_information":[{"code":"52960","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":808,"maximum":3575,"gross_charge":3907,"discounted_cash":2930,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3575},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3516},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1719}]}]},{"description":"Tranfusions, Bld/blood Comp4 Transfus","code_information":[{"code":"65993","type":"CDM"},{"code":"450","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":799,"maximum":3537,"gross_charge":3866,"discounted_cash":2900,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1701}]}]},{"description":"Tranfusions, Bld/blood Comp4 Transfus","code_information":[{"code":"400305","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":799,"maximum":3537,"gross_charge":3866,"discounted_cash":2900,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1701}]}]},{"description":"Inj Paravertf Joint C/t 3 Bilat","code_information":[{"code":"850031-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"64493","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":799,"maximum":3536,"gross_charge":3865,"discounted_cash":2899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3069},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3250},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1701}]}]},{"description":"Hip Femoral Stem Fen. Small 145mm","code_information":[{"code":"48455","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48455","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":798,"maximum":3530,"gross_charge":3858,"discounted_cash":2894,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3063},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3530},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1698}]}]},{"description":"Zz Mepron:750mg/210ml","code_information":[{"code":"304207","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":797,"maximum":3527,"gross_charge":3855,"discounted_cash":2891,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3242},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1696}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Orthosis Afo Plastic Molded Ankle Jt","code_information":[{"code":"51017","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1970","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":797,"maximum":3527,"gross_charge":3855,"discounted_cash":2891,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3061},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3242},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3470},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1696}]}]},{"description":"Ct Abd/pel Wo Cont","code_information":[{"code":"39433","type":"CDM"},{"code":"352","type":"RC"},{"code":"74176","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":796,"maximum":3524,"gross_charge":3851,"discounted_cash":2888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3239},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3524},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3466},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1694}]}]},{"description":"Hip Bipolar Cup 28mm Id 45mm Od","code_information":[{"code":"48405","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48405","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":785,"maximum":3475,"gross_charge":3798,"discounted_cash":2849,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1671}]}]},{"description":"Hip Bipolar Cup 28mm Id 50mm Od","code_information":[{"code":"48410","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":785,"maximum":3475,"gross_charge":3798,"discounted_cash":2849,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1671}]}]},{"description":"Rr-zoladex Syringe 10.8mg","code_information":[{"code":"304494","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9202","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":779,"maximum":3449,"gross_charge":3769,"discounted_cash":2827,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3241},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3449},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3392},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2186},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3241},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1658}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Femoral Stem Sz  8l 130mm","code_information":[{"code":"48442","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":779,"maximum":3448,"gross_charge":3768,"discounted_cash":2826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1658}]}]},{"description":"Hip Femoral Stem Sz 10l 140mm","code_information":[{"code":"48445","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48445","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":779,"maximum":3448,"gross_charge":3768,"discounted_cash":2826,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2992},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3240},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1658}]}]},{"description":"27132 Conv Prev Hip Surg To Total Hip","code_information":[{"code":"CP17585603283873119","type":"CDM"},{"code":"510","type":"RC"},{"code":"27132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":774,"maximum":3425,"gross_charge":3743,"discounted_cash":2807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2972},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3369},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1647}]}]},{"description":"27227 Open Tx Acetab Fx W Int Fix","code_information":[{"code":"CP17585603283870069","type":"CDM"},{"code":"510","type":"RC"},{"code":"27227","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":766,"maximum":3391,"gross_charge":3706,"discounted_cash":2780,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3391},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3335},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1631}]}]},{"description":"Inj Anesthtransfor Epi W Imaging Bila","code_information":[{"code":"850037-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"64479","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":765,"maximum":3386,"gross_charge":3701,"discounted_cash":2776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2939},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3386},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1628}]}]},{"description":"Rr-leuprolide Syringe 30mg","code_information":[{"code":"304144","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3376,"gross_charge":3690,"discounted_cash":2768,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3376},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1624}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ttl Knee Patella 35mm Dia  10mm","code_information":[{"code":"51084","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Ttl Knee Patella 41mm Dia  10mm","code_information":[{"code":"51905","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Ttl Knee Patella 38mm Dia  10mm","code_information":[{"code":"51954","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51954","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Ttl Knee Patella 32mm Dia  10mm","code_information":[{"code":"51958","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Persona Femur Trabecular Knee System","code_information":[{"code":"52270","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Ttl Knee Patella 35mm Dia  10mm","code_information":[{"code":"52294","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Femur Trabecular Knee System Size 11r","code_information":[{"code":"52295","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52295","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Femur Trabecular Knee System Size 11","code_information":[{"code":"52327","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52327","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":763,"maximum":3375,"gross_charge":3688,"discounted_cash":2766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1623}]}]},{"description":"Hip Acetabular Shell 54mm O.d. Sz G Line","code_information":[{"code":"48390","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48390","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":762,"maximum":3374,"gross_charge":3687,"discounted_cash":2765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1622}]}]},{"description":"Hip Acetabular Shell 60mm O.d. Sz J Line","code_information":[{"code":"48393","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":762,"maximum":3374,"gross_charge":3687,"discounted_cash":2765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1622}]}]},{"description":"Hip Acetabular Shell 54mm O.d. Sz F Line","code_information":[{"code":"48394","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":762,"maximum":3374,"gross_charge":3687,"discounted_cash":2765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3374},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3318},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1622}]}]},{"description":"Mesh Composix 6 X8","code_information":[{"code":"50122","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":756,"maximum":3347,"gross_charge":3658,"discounted_cash":2744,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3347},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1610}]}]},{"description":"Mesh Vicryl  6x6  Soft Tissue Patch","code_information":[{"code":"50183","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50183","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":752,"maximum":3325,"gross_charge":3634,"discounted_cash":2726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1599}]}]},{"description":"Mesh Ventral Patch 6.4x 6.4 Circle","code_information":[{"code":"52491","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":752,"maximum":3325,"gross_charge":3634,"discounted_cash":2726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1599}]}]},{"description":"Mesh Ventral Patch 4.3x 4.3 Circle","code_information":[{"code":"52492","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":752,"maximum":3325,"gross_charge":3634,"discounted_cash":2726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3056},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1599}]}]},{"description":"44626 Reversal Of Hartmann Procedure","code_information":[{"code":"CP17585603283895146","type":"CDM"},{"code":"510","type":"RC"},{"code":"44626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":744,"maximum":3290,"gross_charge":3596,"discounted_cash":2697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3093},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3024},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3290},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3093},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1582}]}]},{"description":"Drainage, Peritoneal Abscess/localized P","code_information":[{"code":"CP17585603283912006","type":"CDM"},{"code":"510","type":"RC"},{"code":"49020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":736,"maximum":3257,"gross_charge":3560,"discounted_cash":2670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3062},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2994},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3062},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1566}]}]},{"description":"Rr-leuprolide Syringe  7.5mg","code_information":[{"code":"304218","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":733,"maximum":3242,"gross_charge":3543,"discounted_cash":2657,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3047},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2980},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1559},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3047},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1559}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Acetabular Liner 32mm I.d. O.d.50-54","code_information":[{"code":"51145","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":731,"maximum":3235,"gross_charge":3536,"discounted_cash":2652,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2808},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2974},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3235},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1556}]}]},{"description":"Comp Rvrs 25mm Bsplt Ha+adptr","code_information":[{"code":"53159","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":730,"maximum":3228,"gross_charge":3528,"discounted_cash":2646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2801},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3228},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3034},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1552}]}]},{"description":"Mri U Ext-l (Jt) W/wo Cont","code_information":[{"code":"39417-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73223","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri U Ext-r (Jt) W/wo Cont","code_information":[{"code":"39418-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73223","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri L Ext-l (Jt) W/wo Cont","code_information":[{"code":"39425-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73723","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri L Ext-r (Jt) W/wo Cont","code_information":[{"code":"39426-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73723","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"MRI Scan","code_information":[{"code":"39455","type":"CDM"},{"code":"610","type":"RC"},{"code":"70553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Cervical W/wo Cont","code_information":[{"code":"39462","type":"CDM"},{"code":"612","type":"RC"},{"code":"72156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Thoracic W/wo Cont","code_information":[{"code":"39463","type":"CDM"},{"code":"612","type":"RC"},{"code":"72157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Lumbar W/wo Cont","code_information":[{"code":"39464","type":"CDM"},{"code":"612","type":"RC"},{"code":"72158","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri U Ext-r (Njt) W/wo Cont","code_information":[{"code":"39477-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73220","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri U Ext-l (Njt) W/wo Cont","code_information":[{"code":"39478-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73220","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri L Ext-r (Njt) W/wo Cont","code_information":[{"code":"39481-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73720","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri L Ext-l (Njt) W/wo Cont","code_information":[{"code":"39482-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73720","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Pelvis W/wo Cont","code_information":[{"code":"39489","type":"CDM"},{"code":"610","type":"RC"},{"code":"72197","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Abd W/wo Cont","code_information":[{"code":"39491","type":"CDM"},{"code":"610","type":"RC"},{"code":"74183","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mri Orb/fac/nk W/wo Cont","code_information":[{"code":"39494","type":"CDM"},{"code":"610","type":"RC"},{"code":"70543","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Mra Neck W/wo Cont","code_information":[{"code":"39497","type":"CDM"},{"code":"615","type":"RC"},{"code":"70549","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3205,"gross_charge":3503,"discounted_cash":2627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1541}]}]},{"description":"Cable Bone Plate  8 Hole","code_information":[{"code":"50494","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50494","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":724,"maximum":3202,"gross_charge":3499,"discounted_cash":2624,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1540}]}]},{"description":"Oxf Twin-peg Cmntd Fem Sm Pma","code_information":[{"code":"53150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":717,"maximum":3174,"gross_charge":3469,"discounted_cash":2602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2754},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1526}]}]},{"description":"Oxf Twin-peg Cmntls Fmrl Md","code_information":[{"code":"53210","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":717,"maximum":3174,"gross_charge":3469,"discounted_cash":2602,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2754},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2917},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1526}]}]},{"description":"Rr-abraxane Vial 100mg","code_information":[{"code":"305979","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9264","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":716,"maximum":3167,"gross_charge":3461,"discounted_cash":2596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2911},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1523}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Partial Colectomy W/anastomosis","code_information":[{"code":"CP17585600566716008","type":"CDM"},{"code":"521","type":"RC"},{"code":"44204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":3160,"gross_charge":3454,"discounted_cash":2591,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2905},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1520}]}]},{"description":"Partial Colectomy W/anastomosis","code_information":[{"code":"CP17585603283949639","type":"CDM"},{"code":"510","type":"RC"},{"code":"44204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":714,"maximum":3160,"gross_charge":3454,"discounted_cash":2591,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2742},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2905},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2970},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1520}]}]},{"description":"Im Nail Tibial 11mm X 40cm","code_information":[{"code":"52092","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":712,"maximum":3149,"gross_charge":3441,"discounted_cash":2581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3149},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3097},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1514}]}]},{"description":"Im Nail Tibial  8mm X 32cm","code_information":[{"code":"51899","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51899","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":712,"maximum":3149,"gross_charge":3441,"discounted_cash":2581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3149},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3097},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1514}]}]},{"description":"Bone Graft Canc. Crushed 30cc","code_information":[{"code":"51199","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":709,"maximum":3137,"gross_charge":3428,"discounted_cash":2571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2948},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1988},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2948},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1508}]}]},{"description":"27138 Arthroplasty-rev Hip Femoral Comp","code_information":[{"code":"CP17585603283872058","type":"CDM"},{"code":"510","type":"RC"},{"code":"27138","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":708,"maximum":3131,"gross_charge":3422,"discounted_cash":2567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2943},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2717},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2878},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3080},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2943},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1506}]}]},{"description":"Hip Femoral Stem Fen. X-large 175mm","code_information":[{"code":"48458","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":705,"maximum":3121,"gross_charge":3411,"discounted_cash":2558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2933},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2869},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3070},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2933},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1501}]}]},{"description":"Plate Distal Dorsal T Radial 4hleft","code_information":[{"code":"50527","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50527","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":699,"maximum":3095,"gross_charge":3382,"discounted_cash":2537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3095},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1488}]}]},{"description":"Plate Distal Dorsal T Radial 4hrght","code_information":[{"code":"50796","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50796","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":699,"maximum":3095,"gross_charge":3382,"discounted_cash":2537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3095},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1488}]}]},{"description":"Plate Distal Dorsal D Radial 4hrght","code_information":[{"code":"51118","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":699,"maximum":3095,"gross_charge":3382,"discounted_cash":2537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2844},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3095},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2909},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1488}]}]},{"description":"Hip Acetabular Liner 32mm I.d. O.d.60","code_information":[{"code":"50401","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":698,"maximum":3086,"gross_charge":3373,"discounted_cash":2530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2837},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3086},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3036},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2901},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1484}]}]},{"description":"Dvr Lock Long Plate Right","code_information":[{"code":"52757","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":697,"maximum":3085,"gross_charge":3372,"discounted_cash":2529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1484}]}]},{"description":"Dvr Lock Long Plate Left","code_information":[{"code":"52758","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52758","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":697,"maximum":3085,"gross_charge":3372,"discounted_cash":2529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3035},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1484}]}]},{"description":"Im Nail Tibial 11mm X 34cm","code_information":[{"code":"51974","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51974","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":694,"maximum":3072,"gross_charge":3357,"discounted_cash":2518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3072},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3021},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1477}]}]},{"description":"Im Nail Tibial 10mm X 34cm","code_information":[{"code":"52225","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":694,"maximum":3072,"gross_charge":3357,"discounted_cash":2518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2823},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3072},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3021},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1477}]}]},{"description":"Ct Abd/pel W/wo Cont","code_information":[{"code":"39430","type":"CDM"},{"code":"352","type":"RC"},{"code":"74178","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":693,"maximum":3065,"gross_charge":3350,"discounted_cash":2513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2881},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3065},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3015},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2881},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1474}]}]},{"description":"Release Jejunum Open Approach","code_information":[{"code":"CP17585603283947161","type":"CDM"},{"code":"510","type":"RC"},{"code":"44055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":691,"maximum":3055,"gross_charge":3339,"discounted_cash":2504,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2872},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2808},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3055},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2872},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Im Nail Femoral Recon 12mm X 38cm","code_information":[{"code":"52103","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":3054,"gross_charge":3338,"discounted_cash":2504,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Im Nail Femoral Recon 12mm X 40cm","code_information":[{"code":"52150","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":690,"maximum":3054,"gross_charge":3338,"discounted_cash":2504,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3054},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3004},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2871},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1469}]}]},{"description":"Mesh Ventralight St 12 X14","code_information":[{"code":"52909","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":689,"maximum":3049,"gross_charge":3332,"discounted_cash":2499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2866},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2802},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3049},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2999},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2866},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1466}]}]},{"description":"Hip Femoral Head 36mm -3.5mm Neck Length","code_information":[{"code":"50429","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":688,"maximum":3044,"gross_charge":3327,"discounted_cash":2495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2861},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1464}]}]},{"description":"Lap Cbde Kit Common Bile Duct Explor","code_information":[{"code":"50213","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":688,"maximum":3043,"gross_charge":3326,"discounted_cash":2495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2860},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2797},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3043},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2993},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2860},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1463}]}]},{"description":"Pleurx Pleural Catheter Kit","code_information":[{"code":"52131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":687,"maximum":3038,"gross_charge":3320,"discounted_cash":2490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3038},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2988},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1461}]}]},{"description":"Peritx Peritoneal Catheter Starter Kit","code_information":[{"code":"52973","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52973","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":687,"maximum":3038,"gross_charge":3320,"discounted_cash":2490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3038},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2988},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1461}]}]},{"description":"Procedure Pack Pleurx Pleural Catheter","code_information":[{"code":"53027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":687,"maximum":3038,"gross_charge":3320,"discounted_cash":2490,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2636},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3038},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2988},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2855},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1461}]}]},{"description":"27137 Arty-rev Of T/hip Aceta Comp Only","code_information":[{"code":"CP17585603283879671","type":"CDM"},{"code":"510","type":"RC"},{"code":"27137","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":681,"maximum":3013,"gross_charge":3293,"discounted_cash":2470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2769},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2832},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1449}]}]},{"description":"Cable Bone Plate 10 Hole","code_information":[{"code":"50450","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50450","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":680,"maximum":3009,"gross_charge":3288,"discounted_cash":2466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3009},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2959},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1447}]}]},{"description":"Hip Femoral Head 28mm +3.5mm Neck Length","code_information":[{"code":"48493","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":679,"maximum":3005,"gross_charge":3284,"discounted_cash":2463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2607},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2762},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3005},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2956},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2824},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1445}]}]},{"description":"Hmrl Tray Std Std","code_information":[{"code":"53162","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":677,"maximum":2998,"gross_charge":3276,"discounted_cash":2457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1441}]}]},{"description":"Mini Tray +5mm Cocr +3 Offset","code_information":[{"code":"53223","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":677,"maximum":2998,"gross_charge":3276,"discounted_cash":2457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2601},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2998},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2817},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1441}]}]},{"description":"Hip Femoral Stem Fen. Medium 155mm","code_information":[{"code":"48456","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48456","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":675,"maximum":2987,"gross_charge":3264,"discounted_cash":2448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2745},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2987},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2938},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1436}]}]},{"description":"Hip Bipolar Cup 28mm Id 55mm Od","code_information":[{"code":"48415","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":2976,"gross_charge":3253,"discounted_cash":2440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Hip Bipolar Cup 28mm Id 57mm Od","code_information":[{"code":"48416","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48416","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":2976,"gross_charge":3253,"discounted_cash":2440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Hip Bipolar Cup 28mm Id 58mm Od","code_information":[{"code":"48417","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48417","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":2976,"gross_charge":3253,"discounted_cash":2440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Hip Bipolar Cup 28mm Id 60mm Od","code_information":[{"code":"48418","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48418","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":673,"maximum":2976,"gross_charge":3253,"discounted_cash":2440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2976},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1431}]}]},{"description":"Us Echocomplete","code_information":[{"code":"39187","type":"CDM"},{"code":"480","type":"RC"},{"code":"93306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":671,"maximum":2971,"gross_charge":3247,"discounted_cash":2435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2971},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1429}]}]},{"description":"Lap Mesh Tacker Device Reliatack","code_information":[{"code":"52247","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":670,"maximum":2964,"gross_charge":3239,"discounted_cash":2429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2964},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2915},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1425}]}]},{"description":"Mesh Ventralight St With Echo 8 X10","code_information":[{"code":"52908","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52908","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":669,"maximum":2962,"gross_charge":3237,"discounted_cash":2428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2570},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2962},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2784},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1424}]}]},{"description":"Hip Bipolar Cup 28mm Id 52mm Od","code_information":[{"code":"48412","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":665,"maximum":2942,"gross_charge":3215,"discounted_cash":2411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2704},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2894},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1415}]}]},{"description":"Hip Bipolar Cup 28mm Id 51mm Od","code_information":[{"code":"48411","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":664,"maximum":2936,"gross_charge":3209,"discounted_cash":2407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2760},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2936},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2888},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2760},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1412}]}]},{"description":"27580 Arthrodesis Knee Any Technique","code_information":[{"code":"CP17585603283877679","type":"CDM"},{"code":"510","type":"RC"},{"code":"27580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":663,"maximum":2932,"gross_charge":3204,"discounted_cash":2403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2884},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1858},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1410}]}]},{"description":"Or 46-60 4 Units","code_information":[{"code":"17104","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":662,"maximum":2927,"gross_charge":3199,"discounted_cash":2399,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2540},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2690},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2927},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2879},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1408}]}]},{"description":"Ttl Knee Psn Tib Stm 5 Deg Sz F R","code_information":[{"code":"52531","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52531","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Ttl Knee Psn Tib Stm 5 Deg Sz E R","code_information":[{"code":"52839","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Psn Tib Stm 5 Deg Sz E L","code_information":[{"code":"52862","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52862","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Psn Tib Stm 5 Deg Sz D L","code_information":[{"code":"52868","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52868","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Psn Tib Stm 5 Deg Sz D R","code_information":[{"code":"52884","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Psn Tib Stm 5 Deg Sz Hl","code_information":[{"code":"53018","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":656,"maximum":2904,"gross_charge":3174,"discounted_cash":2381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1397}]}]},{"description":"Dvr Lock Medium Plate Right","code_information":[{"code":"52755","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":652,"maximum":2883,"gross_charge":3151,"discounted_cash":2363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1386}]}]},{"description":"Dvr Lock Medium Plate Left","code_information":[{"code":"52756","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52756","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":652,"maximum":2883,"gross_charge":3151,"discounted_cash":2363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2883},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2836},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1386}]}]},{"description":"27486 Revision/replace Knee Joint","code_information":[{"code":"CP17585603283877874","type":"CDM"},{"code":"510","type":"RC"},{"code":"27486","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":650,"maximum":2875,"gross_charge":3142,"discounted_cash":2357,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2495},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2875},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1382}]}]},{"description":"Rr-infliximab Inj. 100mg","code_information":[{"code":"303592","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1745","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":649,"maximum":2873,"gross_charge":3140,"discounted_cash":2355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2873},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2826},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1382}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Bipolar Cup 28mm Id 53mm Od","code_information":[{"code":"48413","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":646,"maximum":2857,"gross_charge":3122,"discounted_cash":2342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2810},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1374}]}]},{"description":"Hip Bipolar Cup 28mm Id 54mm Od","code_information":[{"code":"48414","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":646,"maximum":2857,"gross_charge":3122,"discounted_cash":2342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2810},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1374}]}]},{"description":"Durolane (Hyaluronate Sodium  3 Ml","code_information":[{"code":"CP17585603283950827","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7318","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":642,"maximum":2841,"gross_charge":3105,"discounted_cash":2329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2795},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1366}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppsodium Hyaluronate 20mg/ml 3ml Sy","code_information":[{"code":"312964","type":"CDM"},{"code":"250","type":"RC"},{"code":"J7318","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":642,"maximum":2841,"gross_charge":3105,"discounted_cash":2329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2611},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2795},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2670},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1366}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cataract Surgery","code_information":[{"code":"17905","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":639,"maximum":2829,"gross_charge":3092,"discounted_cash":2319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2659},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2829},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2783},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2659},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1360}]}]},{"description":"Rr-darbepoetin Inj. 300mcg/0.6 Ml","code_information":[{"code":"304094","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":639,"maximum":2827,"gross_charge":3090,"discounted_cash":2318,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2599},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2827},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1360}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-prolia Inj 60mg/ml","code_information":[{"code":"305998","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0897","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":637,"maximum":2820,"gross_charge":3082,"discounted_cash":2312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2774},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1356}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Stapler Linear Cutter 75mm","code_information":[{"code":"52185","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52185","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":637,"maximum":2820,"gross_charge":3082,"discounted_cash":2312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2820},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2774},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1356}]}]},{"description":"Mri Chest W/wo Cont","code_information":[{"code":"39409","type":"CDM"},{"code":"610","type":"RC"},{"code":"71552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2815,"gross_charge":3077,"discounted_cash":2308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1354}]}]},{"description":"Mra Head W/wo Cont","code_information":[{"code":"39498","type":"CDM"},{"code":"615","type":"RC"},{"code":"70546","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2815,"gross_charge":3077,"discounted_cash":2308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2815},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2646},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1354}]}]},{"description":"Inf.port Mri W/ 9.6fr Introducer   A4301","code_information":[{"code":"49568","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2814,"gross_charge":3075,"discounted_cash":2306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Port Access Implant Kit","code_information":[{"code":"52269","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2814,"gross_charge":3075,"discounted_cash":2306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2586},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2814},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2768},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Episiotomy","code_information":[{"code":"65481","type":"CDM"},{"code":"450","type":"RC"},{"code":"59300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2813,"gross_charge":3074,"discounted_cash":2306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2767},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Vaginal Delivery","code_information":[{"code":"65482","type":"CDM"},{"code":"450","type":"RC"},{"code":"59409","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2813,"gross_charge":3074,"discounted_cash":2306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2767},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Delivery Of Placenta","code_information":[{"code":"65483","type":"CDM"},{"code":"450","type":"RC"},{"code":"59414","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":636,"maximum":2813,"gross_charge":3074,"discounted_cash":2306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2767},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1353}]}]},{"description":"Mesh Gore Dual Mesh Plus 10cm X 15cm","code_information":[{"code":"50239","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":634,"maximum":2807,"gross_charge":3068,"discounted_cash":2301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2638},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2807},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2761},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2638},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1350}]}]},{"description":"27415 Osteochondral Knee Allograft","code_information":[{"code":"CP17585603283872274","type":"CDM"},{"code":"510","type":"RC"},{"code":"27415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":632,"maximum":2796,"gross_charge":3056,"discounted_cash":2292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2628},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2426},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2570},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2796},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1772},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2628},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1345}]}]},{"description":"Mri Chest W Cont","code_information":[{"code":"39408","type":"CDM"},{"code":"610","type":"RC"},{"code":"71551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":630,"maximum":2787,"gross_charge":3046,"discounted_cash":2285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"Mri U Ext-l (Jt) W Cont","code_information":[{"code":"39415-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73222","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":630,"maximum":2787,"gross_charge":3046,"discounted_cash":2285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"Mri U Ext-r (Jt) W Cont","code_information":[{"code":"39416-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73222","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":630,"maximum":2787,"gross_charge":3046,"discounted_cash":2285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"Mri L Ext-l (Jt) W Cont","code_information":[{"code":"39423-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73722","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":630,"maximum":2787,"gross_charge":3046,"discounted_cash":2285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"Mri L Ext-r (Jt) W Cont","code_information":[{"code":"39424-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73722","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":630,"maximum":2787,"gross_charge":3046,"discounted_cash":2285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1340}]}]},{"description":"43840 Gastrorrhaphy","code_information":[{"code":"CP17585603283894525","type":"CDM"},{"code":"510","type":"RC"},{"code":"43840","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":628,"maximum":2780,"gross_charge":3038,"discounted_cash":2279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1337}]}]},{"description":"Hip Femoral Head 32mm Short Plus Neck","code_information":[{"code":"50491","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":627,"maximum":2776,"gross_charge":3034,"discounted_cash":2276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2776},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2731},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1335}]}]},{"description":"27130 Arthroplasty-total Hip","code_information":[{"code":"CP17585603283874547","type":"CDM"},{"code":"510","type":"RC"},{"code":"27130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":627,"maximum":2772,"gross_charge":3030,"discounted_cash":2273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1333}]}]},{"description":"Rr-omalizumab Inj 150mg","code_information":[{"code":"304582","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2357","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":627,"maximum":2772,"gross_charge":3030,"discounted_cash":2273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2727},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1333}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27447 Arty-knee Con+plat, Med+lat-t/knee","code_information":[{"code":"CP17585603283871059","type":"CDM"},{"code":"510","type":"RC"},{"code":"27447","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":626,"maximum":2772,"gross_charge":3029,"discounted_cash":2272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2547},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2772},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2726},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1757},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1333}]}]},{"description":"Tibia 5 Deg Stemmed Left Size F Persona","code_information":[{"code":"52382","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52382","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":2766,"gross_charge":3023,"discounted_cash":2267,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2721},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1330}]}]},{"description":"Psn Tib Stm 5 Deg Sz G L","code_information":[{"code":"52944","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52944","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":625,"maximum":2766,"gross_charge":3023,"discounted_cash":2267,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2721},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2600},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1330}]}]},{"description":"Adhesion Barrier 3 X5  (Seprafilm)","code_information":[{"code":"50370","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":623,"maximum":2758,"gross_charge":3014,"discounted_cash":2261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2713},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2592},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1326}]}]},{"description":"Total Knee Tib Artclr Surf.sz E,f 12mm","code_information":[{"code":"48343","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":622,"maximum":2752,"gross_charge":3008,"discounted_cash":2256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2752},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1324}]}]},{"description":"Total Knee Tib Artclr Surf.sz C-h 10mm F","code_information":[{"code":"50424","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50424","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":622,"maximum":2752,"gross_charge":3008,"discounted_cash":2256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2530},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2752},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2707},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1324}]}]},{"description":"43501 Gastrotomt W Suture Rpr Ulcer","code_information":[{"code":"CP17585603283891879","type":"CDM"},{"code":"510","type":"RC"},{"code":"43501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":622,"maximum":2750,"gross_charge":3006,"discounted_cash":2255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2750},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2705},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1323}]}]},{"description":"44140 Colectomy, Partial W/anastomosis","code_information":[{"code":"CP17585603283891925","type":"CDM"},{"code":"510","type":"RC"},{"code":"44140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":621,"maximum":2748,"gross_charge":3003,"discounted_cash":2252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2703},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1321}]}]},{"description":"Lateral Proximal Tibal 3.5mm Plt12h Lt","code_information":[{"code":"53077","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2744,"gross_charge":2999,"discounted_cash":2249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2744},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1320}]}]},{"description":"Canary Tibal Ext 14x30mm","code_information":[{"code":"53216","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2744,"gross_charge":2999,"discounted_cash":2249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2744},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1320}]}]},{"description":"Canary Home Base Station","code_information":[{"code":"53217","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2744,"gross_charge":2999,"discounted_cash":2249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2744},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1320}]}]},{"description":"Canary Home Base Station 2","code_information":[{"code":"53220","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2744,"gross_charge":2999,"discounted_cash":2249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2744},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1320}]}]},{"description":"43820 Gastrojejunostomy","code_information":[{"code":"CP17585603283891088","type":"CDM"},{"code":"510","type":"RC"},{"code":"43820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2743,"gross_charge":2998,"discounted_cash":2249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2743},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1319}]}]},{"description":"Plate Periart.distl.medl.tibl.left 10h","code_information":[{"code":"51078","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":620,"maximum":2741,"gross_charge":2996,"discounted_cash":2247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2741},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1318}]}]},{"description":"Rr-privigen 10% Vial 10gm/100ml","code_information":[{"code":"304827","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1459","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":619,"maximum":2740,"gross_charge":2995,"discounted_cash":2246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2519},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2740},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1318}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Bipolar Cup 28mm Id 48mm Od","code_information":[{"code":"48408","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":619,"maximum":2738,"gross_charge":2992,"discounted_cash":2244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"Hip Bipolar Cup 28mm Id 49mm Od","code_information":[{"code":"48409","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":619,"maximum":2738,"gross_charge":2992,"discounted_cash":2244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2693},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"Total Knee Tib Articular Surf.sz59 10mm","code_information":[{"code":"48087","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":2736,"gross_charge":2990,"discounted_cash":2243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2691},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"Total Knee Tib Articular Surf.sz59 12mm","code_information":[{"code":"48089","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":2736,"gross_charge":2990,"discounted_cash":2243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2691},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"Total Knee Tib Articular Surf.sz69  8mm","code_information":[{"code":"48349","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":618,"maximum":2736,"gross_charge":2990,"discounted_cash":2243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2736},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2691},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2571},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1316}]}]},{"description":"27506 Open-fem Shaft Fract W/manip","code_information":[{"code":"CP17585603283877628","type":"CDM"},{"code":"510","type":"RC"},{"code":"27506","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":617,"maximum":2730,"gross_charge":2984,"discounted_cash":2238,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2566},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2730},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1731},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1313}]}]},{"description":"Hip Bipolar Cup 28mm Id 46mm Od","code_information":[{"code":"48406","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":616,"maximum":2725,"gross_charge":2978,"discounted_cash":2234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2561},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2504},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2561},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1310}]}]},{"description":"Gyn Versapoint Bipolar Electrode Angled","code_information":[{"code":"50336","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Mri L Ext-l (Njt) W Cont","code_information":[{"code":"39421-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73719","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Mri L Ext-r (Njt) W Cont","code_information":[{"code":"39422-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73719","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Mra Neck W Cont","code_information":[{"code":"39496","type":"CDM"},{"code":"615","type":"RC"},{"code":"70548","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Mra Head W Cont","code_information":[{"code":"39499","type":"CDM"},{"code":"615","type":"RC"},{"code":"70545","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Plate Distal Posterior Lateral 10hrght","code_information":[{"code":"51040","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":614,"maximum":2718,"gross_charge":2970,"discounted_cash":2228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2673},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1307}]}]},{"description":"Mri Abd W Cont","code_information":[{"code":"39410","type":"CDM"},{"code":"610","type":"RC"},{"code":"74182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri U Ext-l (Njt) W Cont","code_information":[{"code":"39413-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73219","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri U Ext-r (Njt) W Cont","code_information":[{"code":"39414-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73219","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Brain/head W Cont","code_information":[{"code":"39454","type":"CDM"},{"code":"611","type":"RC"},{"code":"70552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Cervical W Cont","code_information":[{"code":"39458","type":"CDM"},{"code":"612","type":"RC"},{"code":"72142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Thoracic W Cont","code_information":[{"code":"39460","type":"CDM"},{"code":"612","type":"RC"},{"code":"72147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Pelvis W Cont","code_information":[{"code":"39465","type":"CDM"},{"code":"610","type":"RC"},{"code":"72196","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Lumbar W Cont","code_information":[{"code":"39490","type":"CDM"},{"code":"610","type":"RC"},{"code":"72149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Mri Orb/fac/nk W Cont","code_information":[{"code":"39493","type":"CDM"},{"code":"610","type":"RC"},{"code":"70542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2714,"gross_charge":2966,"discounted_cash":2225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2669},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1305}]}]},{"description":"Ventilator (1st Day)","code_information":[{"code":"60090","type":"CDM"},{"code":"410","type":"RC"},{"code":"94002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":613,"maximum":2711,"gross_charge":2963,"discounted_cash":2222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2353},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2711},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1719},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2548},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1304}]}]},{"description":"Total Knee Tib Articular Surf.sz69 12mm","code_information":[{"code":"48051","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":611,"maximum":2702,"gross_charge":2953,"discounted_cash":2215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2540},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2483},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2702},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2658},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2540},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1299}]}]},{"description":"Tray Orthosorb Pin 1.3mm X 20cm","code_information":[{"code":"51901","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":610,"maximum":2699,"gross_charge":2950,"discounted_cash":2213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2481},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2699},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2655},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2537},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1298}]}]},{"description":"Plate Distal Volar Radial Lateral 4hleft","code_information":[{"code":"51121","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":610,"maximum":2698,"gross_charge":2949,"discounted_cash":2212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2654},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1298}]}]},{"description":"Plate Distal Volar Radial Medial 4hleft","code_information":[{"code":"51133","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":610,"maximum":2698,"gross_charge":2949,"discounted_cash":2212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2342},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2698},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2654},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1298}]}]},{"description":"49657 Lap Hernia Repr Incis Rec Inc/stra","code_information":[{"code":"CP17585603283909091","type":"CDM"},{"code":"510","type":"RC"},{"code":"49657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":610,"maximum":2697,"gross_charge":2948,"discounted_cash":2211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2697},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1297}]}]},{"description":"Im Nail Tibial 10mm X 32cm","code_information":[{"code":"52017","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Periart.lock.dis.latrl.humrl.10hlt","code_information":[{"code":"51119","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Radial Styloid Left","code_information":[{"code":"51327","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51327","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Dorsal Radial Column Left","code_information":[{"code":"51328","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Dorsal Ulnar Column Left","code_information":[{"code":"51329","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Radial Styloid Right","code_information":[{"code":"51330","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Dorsal Radial Column Right","code_information":[{"code":"51331","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"Plate Dorsal Ulnar Column Right","code_information":[{"code":"51332","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":609,"maximum":2696,"gross_charge":2946,"discounted_cash":2210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2478},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1296}]}]},{"description":"44130 Enteroenterostomy W Or W/wo","code_information":[{"code":"CP17585603283891118","type":"CDM"},{"code":"510","type":"RC"},{"code":"44130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":608,"maximum":2689,"gross_charge":2939,"discounted_cash":2204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2689},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2645},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2528},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1293}]}]},{"description":"Inj, Genicular Nerve Branchbilat","code_information":[{"code":"850077-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"64454","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":608,"maximum":2688,"gross_charge":2938,"discounted_cash":2204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1293}]}]},{"description":"Inj, Dx Or Thx Subs W/imagingbilat","code_information":[{"code":"850049-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"62321","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":607,"maximum":2687,"gross_charge":2937,"discounted_cash":2203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2687},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1292}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"850055-50","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":607,"maximum":2687,"gross_charge":2937,"discounted_cash":2203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2687},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1292}]}]},{"description":"Plate Distal Dorsal T Radial 3hleft","code_information":[{"code":"50520","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":602,"maximum":2663,"gross_charge":2910,"discounted_cash":2183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2619},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1280}]}]},{"description":"Total Knee Tib Articular Surf.sz69 15mm","code_information":[{"code":"48073","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":602,"maximum":2662,"gross_charge":2909,"discounted_cash":2182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1280}]}]},{"description":"Total Knee Tib Articular Surf.sz64 15mm","code_information":[{"code":"48074","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":602,"maximum":2662,"gross_charge":2909,"discounted_cash":2182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1280}]}]},{"description":"Replacement Of Left Hip Joint,femoral Surface","code_information":[{"code":"CP17585603283948297","type":"CDM"},{"code":"510","type":"RC"},{"code":"27120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":600,"maximum":2653,"gross_charge":2899,"discounted_cash":2174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2609},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1276}]}]},{"description":"Tranfusions, Bld/blood Comp3 Transfus","code_information":[{"code":"65992","type":"CDM"},{"code":"450","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":600,"maximum":2653,"gross_charge":2899,"discounted_cash":2174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2609},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1276}]}]},{"description":"Tranfusions, Bld/blood Comp3 Transfus","code_information":[{"code":"400304","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":600,"maximum":2653,"gross_charge":2899,"discounted_cash":2174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2609},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1276}]}]},{"description":"Hip Bipolar Cup 28mm Id 47mm Od","code_information":[{"code":"48407","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":599,"maximum":2650,"gross_charge":2896,"discounted_cash":2172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1274}]}]},{"description":"Im Coring Tube","code_information":[{"code":"51903","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":599,"maximum":2650,"gross_charge":2896,"discounted_cash":2172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2650},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1274}]}]},{"description":"27828 Open-fx Wt Brng W/fix, Tib & Fib","code_information":[{"code":"CP17585603283889988","type":"CDM"},{"code":"510","type":"RC"},{"code":"27828","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":597,"maximum":2641,"gross_charge":2886,"discounted_cash":2165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2427},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2641},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2597},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1270}]}]},{"description":"Stapler Gia-100mm","code_information":[{"code":"52208","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":595,"maximum":2632,"gross_charge":2876,"discounted_cash":2157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2632},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1265}]}]},{"description":"Psn Asf Ps 10mm Ve L 6-9 Ef","code_information":[{"code":"52835","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Ps 10mm Ve L 6-9 Cd","code_information":[{"code":"52865","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc  Asf 11mm Ve R 6-7 Cd","code_information":[{"code":"52887","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 12mm Ve R  6-7 Ef","code_information":[{"code":"52914","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 10mm Ve R  6-7 Ef","code_information":[{"code":"52927","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc  Asf 10mm Ve R 6-7 Cd","code_information":[{"code":"52931","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 14mm Ve R  8-11 Ef","code_information":[{"code":"52934","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc Ps 10mm Ve R 8-9 Cd","code_information":[{"code":"52937","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 13mm Ve R  8-11 Ef","code_information":[{"code":"52941","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52941","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 10 Mm Ve R  6-7 Ef","code_information":[{"code":"52950","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc Ps 14mm Ve R 6-7 Cd","code_information":[{"code":"52951","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 10mm Ve L  6-7 Cd","code_information":[{"code":"52954","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52954","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 11mm Ve R  8-9 Cd","code_information":[{"code":"52966","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 10mm Ve R  8-11 Ef","code_information":[{"code":"52968","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52968","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc  Asf 10mm Ve R 4-5 Cd","code_information":[{"code":"52979","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc Ps 14mm Ve L 6-7 Cd","code_information":[{"code":"53031","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc Ps 10mm Ve L 8-9 Cd","code_information":[{"code":"53032","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 12mm Ve R  8-11 Ef","code_information":[{"code":"53034","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Mc Asf 10mm Ve L  4-5 Cd","code_information":[{"code":"53115","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc  13mm Ve L 6-7 Cd","code_information":[{"code":"53203","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":"Psn Asf Mc Ps 14mm Ve R 4-5 Cd","code_information":[{"code":"53219","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":594,"maximum":2626,"gross_charge":2870,"discounted_cash":2153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1263}]}]},{"description":".Plt Pathogen Reduced Charge, Apheresis","code_information":[{"code":"350123","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9073","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":593,"maximum":2624,"gross_charge":2868,"discounted_cash":2151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2581},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1262}]}]},{"description":"Anchor Rotator Cuff W/#2 Ethibond Suture","code_information":[{"code":"50788","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":590,"maximum":2612,"gross_charge":2855,"discounted_cash":2141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2401},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2612},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2570},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1256}]}]},{"description":"Ti Tibial Nail Cann. 10mm X 315mm","code_information":[{"code":"50789","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50789","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2606,"gross_charge":2848,"discounted_cash":2136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2395},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2606},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2563},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2449},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"36571 Insert Picvad Cath","code_information":[{"code":"CP17585603283891976","type":"CDM"},{"code":"510","type":"RC"},{"code":"36571","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 4 Hole Shell 56mm F","code_information":[{"code":"52715","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52715","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 4 Hole Shell 54mm F","code_information":[{"code":"52818","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52818","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 3 Hole Shell 52mm F","code_information":[{"code":"52830","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 4 Hole Shell 60mm G","code_information":[{"code":"52874","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 3 Hole Shell 50mm D","code_information":[{"code":"52897","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 3 Hole Shell48mm C","code_information":[{"code":"52957","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"G7 Osseoti 3 Hole Shell38mm C","code_information":[{"code":"52958","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":589,"maximum":2605,"gross_charge":2847,"discounted_cash":2135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1253}]}]},{"description":"Tib/hum Rod Cannulated 10mm X 225mm","code_information":[{"code":"48360","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":587,"maximum":2598,"gross_charge":2839,"discounted_cash":2129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1249}]}]},{"description":"Tib/hum Rod  8.25mm X 225mm","code_information":[{"code":"48368","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":587,"maximum":2598,"gross_charge":2839,"discounted_cash":2129,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2598},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2555},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1249}]}]},{"description":"Ct Up Ext-r W/wo Cont","code_information":[{"code":"39245-RT","type":"CDM"},{"code":"352","type":"RC"},{"code":"73202","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Up Ext-l W/wo Cont","code_information":[{"code":"39246-LT","type":"CDM"},{"code":"352","type":"RC"},{"code":"73202","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Low Ext-r W/wo Cont","code_information":[{"code":"39263-RT","type":"CDM"},{"code":"352","type":"RC"},{"code":"73702","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Low Ext-l W/wo Cont","code_information":[{"code":"39264-LT","type":"CDM"},{"code":"352","type":"RC"},{"code":"73702","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Cervical  W/wo Cont","code_information":[{"code":"39336","type":"CDM"},{"code":"352","type":"RC"},{"code":"72127","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Chest W/wo Cont","code_information":[{"code":"39337","type":"CDM"},{"code":"352","type":"RC"},{"code":"71270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Head W/wo Cont","code_information":[{"code":"39339","type":"CDM"},{"code":"351","type":"RC"},{"code":"70470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Lumbar W/wo Cont","code_information":[{"code":"39341","type":"CDM"},{"code":"352","type":"RC"},{"code":"72133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Max/facial W/wo Cont","code_information":[{"code":"39342","type":"CDM"},{"code":"351","type":"RC"},{"code":"70488","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Orbit/iac W/wo Cont","code_information":[{"code":"39343","type":"CDM"},{"code":"351","type":"RC"},{"code":"70482","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Soft Tissue Neck W/wo Cont","code_information":[{"code":"39348","type":"CDM"},{"code":"351","type":"RC"},{"code":"70492","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Thoracic W/wo Cont","code_information":[{"code":"39349","type":"CDM"},{"code":"352","type":"RC"},{"code":"72130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Pelvis W/wo Cont","code_information":[{"code":"39431","type":"CDM"},{"code":"352","type":"RC"},{"code":"72194","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Ct Abd W/wo Cont","code_information":[{"code":"39432","type":"CDM"},{"code":"352","type":"RC"},{"code":"74170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Cta Head","code_information":[{"code":"39624","type":"CDM"},{"code":"350","type":"RC"},{"code":"70496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Cta Neck","code_information":[{"code":"39626","type":"CDM"},{"code":"350","type":"RC"},{"code":"70498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2588,"gross_charge":2828,"discounted_cash":2121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"Plate Ss 3.5mm Recon.  7 Hole","code_information":[{"code":"48732","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48732","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":585,"maximum":2587,"gross_charge":2827,"discounted_cash":2120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1244}]}]},{"description":"27724 Rep Non/mal Tibia W/iliac/autgraft","code_information":[{"code":"CP17585603283889019","type":"CDM"},{"code":"510","type":"RC"},{"code":"27724","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":2584,"gross_charge":2824,"discounted_cash":2118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2375},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1243}]}]},{"description":"Or/other 76+ Min","code_information":[{"code":"17305","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":584,"maximum":2583,"gross_charge":2823,"discounted_cash":2117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2374},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2583},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2541},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1242}]}]},{"description":"Hip Bipolar Cup 22mm Id 42mm Od","code_information":[{"code":"48402","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48402","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":583,"maximum":2578,"gross_charge":2817,"discounted_cash":2113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Hip Bipolar Cup 22mm Id 43mm Od","code_information":[{"code":"48403","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":583,"maximum":2578,"gross_charge":2817,"discounted_cash":2113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2578},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Distal Superior Rt 10h 80mm","code_information":[{"code":"53136","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":582,"maximum":2576,"gross_charge":2815,"discounted_cash":2111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Inj Paravertf Joint C/t 3rt","code_information":[{"code":"850005-RT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64493","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":582,"maximum":2576,"gross_charge":2815,"discounted_cash":2111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Inj Paravertjoint C/t 1 Lt/rt","code_information":[{"code":"850009","type":"CDM"},{"code":"360","type":"RC"},{"code":"64490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":582,"maximum":2576,"gross_charge":2815,"discounted_cash":2111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"850011","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":582,"maximum":2576,"gross_charge":2815,"discounted_cash":2111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1239}]}]},{"description":"Hip Bipolar Cup 28mm Id 44mm Od","code_information":[{"code":"48404","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":581,"maximum":2569,"gross_charge":2808,"discounted_cash":2106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1236}]}]},{"description":"Im Nail Femoral Right Recon 13mm X 40cm","code_information":[{"code":"48061","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48061","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":580,"maximum":2568,"gross_charge":2807,"discounted_cash":2105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1235}]}]},{"description":"Hip Bipolar Cup 22mm Id 40mm Od","code_information":[{"code":"48400","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48400","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":580,"maximum":2568,"gross_charge":2807,"discounted_cash":2105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2568},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1235}]}]},{"description":"Airway Cricothyrotomy Emergency Kit","code_information":[{"code":"52013","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52013","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":580,"maximum":2567,"gross_charge":2805,"discounted_cash":2104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2359},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1234}]}]},{"description":"Airway Portex Cricothyroidotomy Kit","code_information":[{"code":"52473","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52473","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":580,"maximum":2567,"gross_charge":2805,"discounted_cash":2104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2359},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2412},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1234}]}]},{"description":"Dvr Lock Narrow Mini Plate Right","code_information":[{"code":"52746","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52746","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock Narrow Mini Plate Left","code_information":[{"code":"52747","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock  Mini Plate  Right","code_information":[{"code":"52748","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock  Mini Plate  Left","code_information":[{"code":"52749","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock Narrow  Plate  Right","code_information":[{"code":"52750","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock Standard Plate Right","code_information":[{"code":"52752","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52752","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Dvr Lock Wide Plate Right","code_information":[{"code":"52753","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2559,"gross_charge":2797,"discounted_cash":2098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1231}]}]},{"description":"Bone Graft Copios 5cc","code_information":[{"code":"48999","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2557,"gross_charge":2794,"discounted_cash":2096,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1229}]}]},{"description":"Bone Graft Celentra 5cc","code_information":[{"code":"52347","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52347","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":578,"maximum":2557,"gross_charge":2794,"discounted_cash":2096,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2515},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1229}]}]},{"description":"Rr-octagam 5% Vial 10gm/200ml","code_information":[{"code":"307300","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1561","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":575,"maximum":2546,"gross_charge":2782,"discounted_cash":2087,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2546},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2504},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1224}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"44160 Colectomy Part W Ileocolostomy","code_information":[{"code":"CP17585603283896413","type":"CDM"},{"code":"510","type":"RC"},{"code":"44160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":575,"maximum":2545,"gross_charge":2781,"discounted_cash":2086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2545},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2503},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1224}]}]},{"description":"Hip Femoral Head 32mm +0mm Neck Length","code_information":[{"code":"50400","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50400","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":575,"maximum":2543,"gross_charge":2779,"discounted_cash":2084,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2337},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2543},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1223}]}]},{"description":"27513 Open-fem Supracondylar/transcond","code_information":[{"code":"CP17585603283877138","type":"CDM"},{"code":"510","type":"RC"},{"code":"27513","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":2536,"gross_charge":2772,"discounted_cash":2079,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2495},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1608},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1220}]}]},{"description":"Airway Lma Fastrach #3 Disp","code_information":[{"code":"52005","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":2535,"gross_charge":2771,"discounted_cash":2078,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1219}]}]},{"description":"Airway Lma Fastrach #4 Disp","code_information":[{"code":"52006","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":2535,"gross_charge":2771,"discounted_cash":2078,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1219}]}]},{"description":"Airway Lma Fastrach #5 Disp","code_information":[{"code":"52035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":2535,"gross_charge":2771,"discounted_cash":2078,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2494},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1219}]}]},{"description":"23616 Open Tx Humeral Fx W Prosth Replmt","code_information":[{"code":"CP17585603283862888","type":"CDM"},{"code":"510","type":"RC"},{"code":"23616","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":573,"maximum":2534,"gross_charge":2769,"discounted_cash":2077,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2492},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1218}]}]},{"description":"Brca Panel (Brca1 & Brca2)quest","code_information":[{"code":"758810","type":"CDM"},{"code":"300","type":"RC"},{"code":"81162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":572,"maximum":2531,"gross_charge":2766,"discounted_cash":2075,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2489},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1217}]}]},{"description":"Ortho Cement Simplex P W/tobramycin","code_information":[{"code":"48997","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":570,"maximum":2522,"gross_charge":2756,"discounted_cash":2067,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2318},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2522},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1213}]}]},{"description":"Stapler Endo Linear Cutter Art. 45mm","code_information":[{"code":"50305","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":570,"maximum":2520,"gross_charge":2754,"discounted_cash":2066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1212}]}]},{"description":"Total Knee Patella Reamer Blade 35mm Dia","code_information":[{"code":"51070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":570,"maximum":2520,"gross_charge":2754,"discounted_cash":2066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2520},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1212}]}]},{"description":"Rr-abatacept Vial 250mg","code_information":[{"code":"304245","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0129","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":569,"maximum":2516,"gross_charge":2750,"discounted_cash":2063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1210}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27244 Treat Inter, Pert Sub Fx; Plt/scrw","code_information":[{"code":"CP17585603283878004","type":"CDM"},{"code":"510","type":"RC"},{"code":"27244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":568,"maximum":2514,"gross_charge":2747,"discounted_cash":2060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1209}]}]},{"description":"27245 Orif Femur Fx W Intra Implant","code_information":[{"code":"CP17585603283872335","type":"CDM"},{"code":"510","type":"RC"},{"code":"27245","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":568,"maximum":2514,"gross_charge":2747,"discounted_cash":2060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2514},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1209}]}]},{"description":"Abdominoplasty Orfull","code_information":[{"code":"17311","type":"CDM"},{"code":"360","type":"RC"},{"code":"15847","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":567,"maximum":2510,"gross_charge":2743,"discounted_cash":2057,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2359},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2510},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2469},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1207}]}]},{"description":"44120 Enterectomy Sgl Resection Anastomo","code_information":[{"code":"CP17585603283893904","type":"CDM"},{"code":"510","type":"RC"},{"code":"44120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":566,"maximum":2505,"gross_charge":2738,"discounted_cash":2054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1205}]}]},{"description":"Psn Asf Ps 10mm Ve R 6-9 Gh","code_information":[{"code":"52813","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52813","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Asf Ps 14mm Ve R 6-9 Ef","code_information":[{"code":"52840","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Asf Ps 10mm Ve R 10-11ef","code_information":[{"code":"52875","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52875","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Asf Ps 10mm Ve R 10-12gh","code_information":[{"code":"52905","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Asf Ps 10mm Ve L 8-11 Gh","code_information":[{"code":"52943","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Mc Ve Asf L10mm  8-11 Ef","code_information":[{"code":"52964","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Asf Mc Ps 14mm Ve L 8-11 Ef","code_information":[{"code":"52982","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52982","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Mc  Asf14mm Ve R 8-11 Gh","code_information":[{"code":"53197","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Psn Mc Ve Asf L 11mm  4-5 Ef","code_information":[{"code":"53201","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2501,"gross_charge":2733,"discounted_cash":2050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1203}]}]},{"description":"Hip Bipolar Cup 22mm Id 41mm Od","code_information":[{"code":"48401","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2500,"gross_charge":2732,"discounted_cash":2049,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2500},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1202}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"CP17585603409759648","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":565,"maximum":2499,"gross_charge":2731,"discounted_cash":2048,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2499},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1202}]}]},{"description":"Cold Therapy Cooler,hose & Control Modul","code_information":[{"code":"48083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":564,"maximum":2493,"gross_charge":2725,"discounted_cash":2044,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1199}]}]},{"description":"Endscp Bi-polar Cautery Probe 10fr","code_information":[{"code":"49746","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49746","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":564,"maximum":2493,"gross_charge":2725,"discounted_cash":2044,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2453},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2344},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1199}]}]},{"description":"29889 Arthorscopic-post Crudate Lig Rep","code_information":[{"code":"CP17585603283893842","type":"CDM"},{"code":"510","type":"RC"},{"code":"29889","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":563,"maximum":2491,"gross_charge":2722,"discounted_cash":2042,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2491},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1198}]}]},{"description":"Shunt Peritoneo-venous Standard Flow","code_information":[{"code":"49503","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP49503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":561,"maximum":2482,"gross_charge":2713,"discounted_cash":2035,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2482},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2442},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1194}]}]},{"description":"Stapler Endo Linear Cutter Art. 35mm","code_information":[{"code":"50066","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":2480,"gross_charge":2710,"discounted_cash":2033,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2279},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2480},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1192}]}]},{"description":"Stapler Curved Intraluminal 25mm","code_information":[{"code":"49722","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49722","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":2479,"gross_charge":2709,"discounted_cash":2032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1192}]}]},{"description":"Stapler Curved Intraluminal 33mm","code_information":[{"code":"49742","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49742","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":2479,"gross_charge":2709,"discounted_cash":2032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1192}]}]},{"description":"Stapler Curved Intraluminal 29mm","code_information":[{"code":"49743","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49743","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":560,"maximum":2479,"gross_charge":2709,"discounted_cash":2032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2479},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1192}]}]},{"description":"Inj Sacroiliacjoint Lt/rt 50","code_information":[{"code":"850007","type":"CDM"},{"code":"360","type":"RC"},{"code":"27096","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":559,"maximum":2475,"gross_charge":2705,"discounted_cash":2029,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1190}]}]},{"description":"Inj Paravertf Joint C/t 3 Lt","code_information":[{"code":"850029-LT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64493","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":559,"maximum":2475,"gross_charge":2705,"discounted_cash":2029,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1190}]}]},{"description":"Inject Pavavertl/t 3 Lt/rt 50","code_information":[{"code":"8500005","type":"CDM"},{"code":"360","type":"RC"},{"code":"64493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":559,"maximum":2475,"gross_charge":2705,"discounted_cash":2029,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1190}]}]},{"description":"Oxf Anat Brg Lt Md Size 3 Pma","code_information":[{"code":"53206","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":559,"maximum":2471,"gross_charge":2701,"discounted_cash":2026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1188}]}]},{"description":"Oxf Anat Brg Lt Md Size 4 Pma","code_information":[{"code":"53211","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":559,"maximum":2471,"gross_charge":2701,"discounted_cash":2026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2431},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1188}]}]},{"description":"Lap Hernia Rpr Extra Hand Device","code_information":[{"code":"50372","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50372","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":556,"maximum":2461,"gross_charge":2690,"discounted_cash":2018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1184}]}]},{"description":"44320 Colostomy Or Skin Cecostomy","code_information":[{"code":"CP17585603283895252","type":"CDM"},{"code":"510","type":"RC"},{"code":"44320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":556,"maximum":2461,"gross_charge":2690,"discounted_cash":2018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1184}]}]},{"description":"25025 Decompr Forearm 2 Space","code_information":[{"code":"CP17585603283860262","type":"CDM"},{"code":"510","type":"RC"},{"code":"25025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":556,"maximum":2459,"gross_charge":2687,"discounted_cash":2015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2459},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1182}]}]},{"description":"Plate Periart.locking Latrl.fiblr.8hlft","code_information":[{"code":"51077","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2458,"gross_charge":2686,"discounted_cash":2015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1182}]}]},{"description":"Plate Distal.locking Fib.8h 132mm Rt","code_information":[{"code":"52870","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2458,"gross_charge":2686,"discounted_cash":2015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1182}]}]},{"description":"Plate Lockdistl Fibulat Lat  8h 132mm Lt","code_information":[{"code":"52889","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2458,"gross_charge":2686,"discounted_cash":2015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2417},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1182}]}]},{"description":"23470 Arthroplasty-glenohumeral Joint","code_information":[{"code":"CP17585603283862470","type":"CDM"},{"code":"510","type":"RC"},{"code":"23470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2456,"gross_charge":2684,"discounted_cash":2013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2308},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2456},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2416},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1181}]}]},{"description":"Plate Ss 3.5mm Recon.  6 Hole","code_information":[{"code":"48731","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2455,"gross_charge":2683,"discounted_cash":2012,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1181}]}]},{"description":"Plate Ti Cloverleaf 4 Hole","code_information":[{"code":"50719","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50719","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2455,"gross_charge":2683,"discounted_cash":2012,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2415},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1181}]}]},{"description":"49203 Exc Abd Tumor 5cm Or Less","code_information":[{"code":"CP17585603283905241","type":"CDM"},{"code":"510","type":"RC"},{"code":"49203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":555,"maximum":2454,"gross_charge":2682,"discounted_cash":2012,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2454},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1180}]}]},{"description":"27488 Rem Pros, Incl T-knee Pros, Methyl","code_information":[{"code":"CP17585603283872599","type":"CDM"},{"code":"510","type":"RC"},{"code":"27488","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":554,"maximum":2450,"gross_charge":2678,"discounted_cash":2009,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2126},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1178}]}]},{"description":"Tib/hum Rod  8.25mm X 240mm","code_information":[{"code":"48055","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":553,"maximum":2448,"gross_charge":2675,"discounted_cash":2006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2250},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1177}]}]},{"description":"Total Knee Patella Dome 32mm Dia  8.5mm","code_information":[{"code":"50475","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50475","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":553,"maximum":2446,"gross_charge":2673,"discounted_cash":2005,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2446},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1176}]}]},{"description":"Plate Uls 3.5mm X  209mm 16h","code_information":[{"code":"52685","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":552,"maximum":2444,"gross_charge":2671,"discounted_cash":2003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2404},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1175}]}]},{"description":"27236 Open-femoral Fract Prox Neck","code_information":[{"code":"CP17585603283870303","type":"CDM"},{"code":"510","type":"RC"},{"code":"27236","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":552,"maximum":2441,"gross_charge":2668,"discounted_cash":2001,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2294},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2441},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2401},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2294},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1174}]}]},{"description":"N Block Inj Intercost Multi","code_information":[{"code":"850079","type":"CDM"},{"code":"360","type":"RC"},{"code":"64421","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":549,"maximum":2429,"gross_charge":2655,"discounted_cash":1991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2429},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2390},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1168}]}]},{"description":"Lap Inst Disp Fan Retractor 10mm","code_information":[{"code":"49180","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":547,"maximum":2422,"gross_charge":2647,"discounted_cash":1985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2422},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1165}]}]},{"description":"44125 Enterectomy Sgl Resec W/enterostom","code_information":[{"code":"CP17585603283898918","type":"CDM"},{"code":"510","type":"RC"},{"code":"44125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":547,"maximum":2421,"gross_charge":2646,"discounted_cash":1985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1164}]}]},{"description":"Cath Dialysis 42.5cm 2 Cuff Left Swannck","code_information":[{"code":"52196","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":547,"maximum":2419,"gross_charge":2644,"discounted_cash":1983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2419},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2380},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1163}]}]},{"description":"Or 31-45 3 Units","code_information":[{"code":"17103","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":542,"maximum":2396,"gross_charge":2619,"discounted_cash":1964,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2357},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1152}]}]},{"description":"Exc Excessive Skin And Subc Tissue","code_information":[{"code":"CP17585603283917974","type":"CDM"},{"code":"510","type":"RC"},{"code":"15830","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":540,"maximum":2388,"gross_charge":2610,"discounted_cash":1958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2388},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2349},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1148}]}]},{"description":"Plate Uls 3.5mm X  196mm 15h","code_information":[{"code":"52684","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52684","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":540,"maximum":2387,"gross_charge":2609,"discounted_cash":1957,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2244},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1148}]}]},{"description":"Hip Femoral Head 28mm +0mm Neck Length","code_information":[{"code":"48041","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":2382,"gross_charge":2603,"discounted_cash":1952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1145}]}]},{"description":"Hip Femoral Head 28mm -3.5mm Neck Length","code_information":[{"code":"51886","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":2382,"gross_charge":2603,"discounted_cash":1952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1145}]}]},{"description":"Hip Femoral Head 22mm +0mm Neck Length","code_information":[{"code":"48419","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":538,"maximum":2382,"gross_charge":2603,"discounted_cash":1952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1145}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 105mm","code_information":[{"code":"48340","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":536,"maximum":2370,"gross_charge":2590,"discounted_cash":1943,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2056},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2370},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1140}]}]},{"description":"Plate Locking Dcp 3.5mm X 209mm  16 Hole","code_information":[{"code":"52699","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52699","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2368,"gross_charge":2588,"discounted_cash":1941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2368},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1139}]}]},{"description":"Psn Tib Stm 5 Deg Sz G R","code_information":[{"code":"52810","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Cmt Cocr Nrw Sz5 R","code_information":[{"code":"53087","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Stm 5 Deg Sz C R","code_information":[{"code":"53088","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz4 L","code_information":[{"code":"53113","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel C Lt","code_information":[{"code":"53114","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel D Lt","code_information":[{"code":"53117","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz6 L","code_information":[{"code":"53119","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel E Lt","code_information":[{"code":"53120","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz4 R","code_information":[{"code":"53124","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel D Rt","code_information":[{"code":"53125","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz8 R","code_information":[{"code":"53133","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel F Rt","code_information":[{"code":"53134","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Oxf Uni Tib Tray Sz B Lm Pma","code_information":[{"code":"53152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel G Rt","code_information":[{"code":"53172","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53172","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz7 R","code_information":[{"code":"53175","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Tib Por 0 Deg Spk Kel H Rt","code_information":[{"code":"53196","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Psn Fem Cr Pps Ccr Std Sz5 L","code_information":[{"code":"53200","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":535,"maximum":2367,"gross_charge":2587,"discounted_cash":1940,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1138}]}]},{"description":"Bone Graft Collagraft Matrix Strip Kit/3","code_information":[{"code":"48950","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":534,"maximum":2364,"gross_charge":2584,"discounted_cash":1938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2364},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1137}]}]},{"description":"38100 Removal Spleen Total","code_information":[{"code":"CP17585603283897742","type":"CDM"},{"code":"510","type":"RC"},{"code":"38100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":534,"maximum":2363,"gross_charge":2582,"discounted_cash":1937,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2363},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2324},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1136}]}]},{"description":"Infiniti 23g Vitrectomy Probe","code_information":[{"code":"52459","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":534,"maximum":2362,"gross_charge":2581,"discounted_cash":1936,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1136}]}]},{"description":"Abdominoplasty Ormini","code_information":[{"code":"17310","type":"CDM"},{"code":"360","type":"RC"},{"code":"17999","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":532,"maximum":2355,"gross_charge":2574,"discounted_cash":1931,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2214},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2355},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2214},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1133}]}]},{"description":"36561 Insert Tunn Cva W Subq Port < 5 Yr","code_information":[{"code":"CP17585603283891803","type":"CDM"},{"code":"510","type":"RC"},{"code":"36561","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":532,"maximum":2354,"gross_charge":2573,"discounted_cash":1930,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2043},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1132}]}]},{"description":"39220 Removal Chest Lesion","code_information":[{"code":"CP17585603283899070","type":"CDM"},{"code":"510","type":"RC"},{"code":"39220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":528,"maximum":2338,"gross_charge":2555,"discounted_cash":1916,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2338},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1124}]}]},{"description":"Arthro Probe 3mm 60deg W/suction Bipolar","code_information":[{"code":"50506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":528,"maximum":2336,"gross_charge":2553,"discounted_cash":1915,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1123}]}]},{"description":"Mri U Ext-l (Njt) Wo Cont","code_information":[{"code":"39411-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73218","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri U Ext-r (Njt) Wo Cont","code_information":[{"code":"39412-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73218","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri L Ext-l (Njt) Wo Cont","code_information":[{"code":"39419-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73718","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri L Ext-r (Njt) Wo Cont","code_information":[{"code":"39420-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73718","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mra Abdomen W And/or Wo Cont","code_information":[{"code":"39440","type":"CDM"},{"code":"610","type":"RC"},{"code":"74185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri T-m Joint","code_information":[{"code":"39450","type":"CDM"},{"code":"610","type":"RC"},{"code":"70336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Brain/head Wo Cont","code_information":[{"code":"39453","type":"CDM"},{"code":"611","type":"RC"},{"code":"70551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Chest Wo Cont","code_information":[{"code":"39456","type":"CDM"},{"code":"610","type":"RC"},{"code":"71550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Cervical Wo Cont","code_information":[{"code":"39457","type":"CDM"},{"code":"612","type":"RC"},{"code":"72141","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Thoracic Wo Cont","code_information":[{"code":"39459","type":"CDM"},{"code":"612","type":"RC"},{"code":"72146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"MRI scan of lower spinal canal","code_information":[{"code":"39461","type":"CDM"},{"code":"610","type":"RC"},{"code":"72148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Abd Wo Cont","code_information":[{"code":"39470","type":"CDM"},{"code":"610","type":"RC"},{"code":"74181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri U Ext-r (Jt) Wo Cont","code_information":[{"code":"39479-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73221","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri U Ext-l (Jt) Wo Cont","code_information":[{"code":"39480-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73221","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"MRI scan of leg joint","code_information":[{"code":"39483-RT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73721","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"MRI scan of leg joint","code_information":[{"code":"39484-LT","type":"CDM"},{"code":"610","type":"RC"},{"code":"73721","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mri Pelvis Wo Cont","code_information":[{"code":"39488","type":"CDM"},{"code":"610","type":"RC"},{"code":"72195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mra Neck Wo Cont","code_information":[{"code":"39507","type":"CDM"},{"code":"615","type":"RC"},{"code":"70547","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Mra Head Wo Cont","code_information":[{"code":"39508","type":"CDM"},{"code":"615","type":"RC"},{"code":"70544","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":527,"maximum":2330,"gross_charge":2546,"discounted_cash":1910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1120}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 110mm","code_information":[{"code":"48279","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48279","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":525,"maximum":2323,"gross_charge":2539,"discounted_cash":1904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1117}]}]},{"description":"Plate Ti Cloverleaf 3 Hole","code_information":[{"code":"50718","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50718","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":525,"maximum":2323,"gross_charge":2539,"discounted_cash":1904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1117}]}]},{"description":"Total Knee Patella Reamer Blade 46mm Dia","code_information":[{"code":"48369","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":525,"maximum":2323,"gross_charge":2539,"discounted_cash":1904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2323},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2285},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1117}]}]},{"description":"Lap Mesh Stat Tacker Device","code_information":[{"code":"50240","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":523,"maximum":2316,"gross_charge":2531,"discounted_cash":1898,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1114}]}]},{"description":"27125 Hemiarthroplasty Hip Partial","code_information":[{"code":"CP17585603283877257","type":"CDM"},{"code":"510","type":"RC"},{"code":"27125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":523,"maximum":2313,"gross_charge":2528,"discounted_cash":1896,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2126},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1112}]}]},{"description":"27495 Reinforce Thigh","code_information":[{"code":"CP17585603283875672","type":"CDM"},{"code":"510","type":"RC"},{"code":"27495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":520,"maximum":2300,"gross_charge":2514,"discounted_cash":1886,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2300},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2263},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1106}]}]},{"description":"Arthro Abs.bone Fixtn Kit 1.5mm X 16mm","code_information":[{"code":"50510","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50510","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":519,"maximum":2298,"gross_charge":2511,"discounted_cash":1883,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1105}]}]},{"description":"47605 Open Cholecystectomy W Cholangiogr","code_information":[{"code":"CP17585603283907207","type":"CDM"},{"code":"510","type":"RC"},{"code":"47605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":519,"maximum":2297,"gross_charge":2510,"discounted_cash":1883,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2259},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1104}]}]},{"description":"Plate Uls 3.5mm X  183mm 14h","code_information":[{"code":"52683","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":518,"maximum":2292,"gross_charge":2505,"discounted_cash":1879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1102}]}]},{"description":"20692 Appl Multiplane Ext Fixation","code_information":[{"code":"CP17585603283848299","type":"CDM"},{"code":"510","type":"RC"},{"code":"20692","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":517,"maximum":2287,"gross_charge":2499,"discounted_cash":1874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1100}]}]},{"description":"Mri Orb/fac/nk Wo Cont","code_information":[{"code":"39451","type":"CDM"},{"code":"610","type":"RC"},{"code":"70540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":517,"maximum":2287,"gross_charge":2499,"discounted_cash":1874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1100}]}]},{"description":"Hip Acetabular Shell 44mm O.d.","code_information":[{"code":"48426","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48426","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":516,"maximum":2284,"gross_charge":2496,"discounted_cash":1872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2284},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1098}]}]},{"description":"Hip Acetabular Shell 43mm O.d.","code_information":[{"code":"48490","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":516,"maximum":2284,"gross_charge":2496,"discounted_cash":1872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2284},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1098}]}]},{"description":"Plate Ti T-buttress  6 Hole","code_information":[{"code":"50933","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":516,"maximum":2284,"gross_charge":2496,"discounted_cash":1872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2284},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2246},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1098}]}]},{"description":"Plate Uls 3.5mm X  287mm 22h","code_information":[{"code":"52688","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":515,"maximum":2277,"gross_charge":2488,"discounted_cash":1866,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2092},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2277},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1095}]}]},{"description":"Cholecstectomy/with Explor Of Comm Duct","code_information":[{"code":"CP17585603283912729","type":"CDM"},{"code":"510","type":"RC"},{"code":"47564","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":514,"maximum":2274,"gross_charge":2485,"discounted_cash":1864,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1973},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2137},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1093}]}]},{"description":"Plate Lockdistl Fibulat Lat  6h 106mm","code_information":[{"code":"52860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":513,"maximum":2270,"gross_charge":2481,"discounted_cash":1861,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1092}]}]},{"description":".Plt Leukoreduced Irr Charge, Apheresis","code_information":[{"code":"350052","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9037","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":513,"maximum":2270,"gross_charge":2481,"discounted_cash":1861,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1092}]}]},{"description":"Vivacit-e Dm Bearing 28x44mm","code_information":[{"code":"52716","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52716","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":2264,"gross_charge":2474,"discounted_cash":1856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1089}]}]},{"description":"Vivacit-e Dm Bearing 28x42mm","code_information":[{"code":"52828","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":2264,"gross_charge":2474,"discounted_cash":1856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1089}]}]},{"description":"Vivacit-e Dm Bearing 28x46mm","code_information":[{"code":"52871","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":2264,"gross_charge":2474,"discounted_cash":1856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1089}]}]},{"description":"Vivacit-e Dm Bearing 28x40mm","code_information":[{"code":"52899","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52899","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":2264,"gross_charge":2474,"discounted_cash":1856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1089}]}]},{"description":"Vivacit-e Dm Bearing 28x38mm","code_information":[{"code":"52956","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52956","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":512,"maximum":2264,"gross_charge":2474,"discounted_cash":1856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2081},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1089}]}]},{"description":"Or/other 61-75 Min","code_information":[{"code":"17304","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":2261,"gross_charge":2471,"discounted_cash":1853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2261},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1087}]}]},{"description":"Mesh Mersilene 12x12 Soft Tissue Patch","code_information":[{"code":"50256","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50256","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":2260,"gross_charge":2470,"discounted_cash":1853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1087}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg  4 Hole","code_information":[{"code":"48212","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":511,"maximum":2260,"gross_charge":2470,"discounted_cash":1853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2077},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2260},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1087}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  50mm","code_information":[{"code":"48269","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48269","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  55mm","code_information":[{"code":"48270","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  60mm","code_information":[{"code":"48271","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48271","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  75mm","code_information":[{"code":"48274","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48274","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  80mm","code_information":[{"code":"48275","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  85mm","code_information":[{"code":"48276","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48276","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  90mm","code_information":[{"code":"48277","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  95mm","code_information":[{"code":"48278","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48278","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2258,"gross_charge":2468,"discounted_cash":1851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1086}]}]},{"description":"Inj Anesthtransfor Epi W Imaging","code_information":[{"code":"850033-RT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64479","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":510,"maximum":2257,"gross_charge":2467,"discounted_cash":1850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1085}]}]},{"description":"Inj Anesthtransfor Epi W Imaging Lt","code_information":[{"code":"850035-LT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64479","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":510,"maximum":2257,"gross_charge":2467,"discounted_cash":1850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1085}]}]},{"description":"Dist Femur Locking Screw Cap","code_information":[{"code":"51008","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2256,"gross_charge":2466,"discounted_cash":1850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2256},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1085}]}]},{"description":"Locking Screw Cann  Depth G 3.5/2.7mm","code_information":[{"code":"52644","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52644","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":510,"maximum":2255,"gross_charge":2464,"discounted_cash":1848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2255},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1084}]}]},{"description":"Drain Open Retroperi Abscess","code_information":[{"code":"CP17585603283912325","type":"CDM"},{"code":"510","type":"RC"},{"code":"49060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":509,"maximum":2254,"gross_charge":2463,"discounted_cash":1847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1956},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2071},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1429},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1084}]}]},{"description":"Biolox Delta Option Fem Head, 28mm, +7mm","code_information":[{"code":"52717","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52717","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":507,"maximum":2245,"gross_charge":2454,"discounted_cash":1841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2064},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1080}]}]},{"description":"Canthotomy","code_information":[{"code":"65546","type":"CDM"},{"code":"450","type":"RC"},{"code":"67715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":507,"maximum":2242,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1078}]}]},{"description":"N Block Inj Intercost Sng","code_information":[{"code":"850013","type":"CDM"},{"code":"360","type":"RC"},{"code":"64420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":507,"maximum":2242,"gross_charge":2450,"discounted_cash":1838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1078}]}]},{"description":"Cta Chest","code_information":[{"code":"39614","type":"CDM"},{"code":"352","type":"RC"},{"code":"71275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":2240,"gross_charge":2448,"discounted_cash":1836,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1077}]}]},{"description":"Rr-leuprolide Syringe 45mg","code_information":[{"code":"304343","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":2238,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1076}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pico Disp (Npwt) 10x20 Cm Dressing Kit","code_information":[{"code":"53004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":2238,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1076}]}]},{"description":"Pico Disp (Npwt) 10x30 Cm Dressing Kit","code_information":[{"code":"53005","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":2238,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1076}]}]},{"description":"Pico Disp (Npwt) 10x40 Cm Dressing Kit","code_information":[{"code":"53006","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":506,"maximum":2238,"gross_charge":2446,"discounted_cash":1835,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2057},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1076}]}]},{"description":"Im Nail Tibial 11mm X 30cm","code_information":[{"code":"50466","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":505,"maximum":2236,"gross_charge":2444,"discounted_cash":1833,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1075}]}]},{"description":"Im Nail Tibial  9mm X 34cm","code_information":[{"code":"50474","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":505,"maximum":2236,"gross_charge":2444,"discounted_cash":1833,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1075}]}]},{"description":"Lap Hernia Rpr Distention Balloon Unilat","code_information":[{"code":"50168","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50168","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":504,"maximum":2232,"gross_charge":2439,"discounted_cash":1829,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Lap Hernia Rpr Balloon Trocar 10mm","code_information":[{"code":"50171","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50171","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":504,"maximum":2232,"gross_charge":2439,"discounted_cash":1829,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1073}]}]},{"description":"Percutaneous Endoscopic Feeding Tube 20f","code_information":[{"code":"53080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":503,"maximum":2224,"gross_charge":2431,"discounted_cash":1823,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2091},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1070}]}]},{"description":"Lap Inst Disp Spec. Retrieval Bag 15mm","code_information":[{"code":"49450","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49450","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":502,"maximum":2221,"gross_charge":2427,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1068}]}]},{"description":"Plate Distal Dorsal T Radial 6hrght","code_information":[{"code":"50794","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50794","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":502,"maximum":2221,"gross_charge":2427,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1068}]}]},{"description":"Plate Distal Dorsal T Radial 6hleft","code_information":[{"code":"51057","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":502,"maximum":2221,"gross_charge":2427,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1927},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2041},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1068}]}]},{"description":"Arthro Probe 3mm 90deg W/suction Bipolar","code_information":[{"code":"50508","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":502,"maximum":2220,"gross_charge":2426,"discounted_cash":1820,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1067}]}]},{"description":"Plate Ti 2.4mm Lc-dcp 4 Hole","code_information":[{"code":"50694","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":501,"maximum":2219,"gross_charge":2425,"discounted_cash":1819,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2219},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2086},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1067}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  157mm 12h","code_information":[{"code":"52681","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52681","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":501,"maximum":2217,"gross_charge":2423,"discounted_cash":1817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2038},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1066}]}]},{"description":"Treat Elbow Fracture","code_information":[{"code":"CP17585603283958522","type":"CDM"},{"code":"510","type":"RC"},{"code":"24586","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":499,"maximum":2208,"gross_charge":2413,"discounted_cash":1810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1062}]}]},{"description":"Bupivacaine Liposom 1.3% Vial 266mg/20ml","code_information":[{"code":"307602","type":"CDM"},{"code":"250","type":"RC"},{"code":"65250026620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":499,"maximum":2206,"gross_charge":2411,"discounted_cash":1808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}],"drug_information":{"unit":266,"type":"ME"}},{"description":"Plate Ti Dcp Broad 11 Hole","code_information":[{"code":"50929","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":499,"maximum":2206,"gross_charge":2411,"discounted_cash":1808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}]},{"description":"Plate Ti Dcp Broad 12 Hole","code_information":[{"code":"50930","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":499,"maximum":2206,"gross_charge":2411,"discounted_cash":1808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}]},{"description":"Plate Ti Dcp Broad 14 Hole","code_information":[{"code":"50931","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":499,"maximum":2206,"gross_charge":2411,"discounted_cash":1808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1061}]}]},{"description":"Dist Femur Screw Cort 5.0mm X 34mm","code_information":[{"code":"51003","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":498,"maximum":2204,"gross_charge":2409,"discounted_cash":1807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Dist Femur Screw Cort 5.0mm X 44mm","code_information":[{"code":"51004","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":498,"maximum":2204,"gross_charge":2409,"discounted_cash":1807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Dist Femur Screw Cort 5.0mm X 46mm","code_information":[{"code":"51005","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":498,"maximum":2204,"gross_charge":2409,"discounted_cash":1807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Dist Femur Screw Cort 5.0mm X 48mm","code_information":[{"code":"51006","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":498,"maximum":2204,"gross_charge":2409,"discounted_cash":1807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Dist Femur Screw Cort 5.0mm X 50mm","code_information":[{"code":"51007","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":498,"maximum":2204,"gross_charge":2409,"discounted_cash":1807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1060}]}]},{"description":"Lap Suture Endostitch 10mm","code_information":[{"code":"52173","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":497,"maximum":2201,"gross_charge":2405,"discounted_cash":1804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1058}]}]},{"description":"27827 Orif Tibial Plafond Surface, Tibia","code_information":[{"code":"CP17585603283885114","type":"CDM"},{"code":"510","type":"RC"},{"code":"27827","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":497,"maximum":2200,"gross_charge":2404,"discounted_cash":1803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1909},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2067},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1058}]}]},{"description":"Plate Uls 3.5mm X  170mm 13h","code_information":[{"code":"52682","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":497,"maximum":2198,"gross_charge":2402,"discounted_cash":1802,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2020},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2162},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1393},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2066},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1057}]}]},{"description":"Plate Uls 3.5mm X  261mm 20h","code_information":[{"code":"52687","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":496,"maximum":2196,"gross_charge":2400,"discounted_cash":1800,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2064},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2064},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1056}]}]},{"description":"Im Nail Humeral Extended End Cap 10mm","code_information":[{"code":"52224","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":496,"maximum":2195,"gross_charge":2399,"discounted_cash":1799,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1056}]}]},{"description":"24435 Repr Humerus With Graft","code_information":[{"code":"CP17585603283866283","type":"CDM"},{"code":"510","type":"RC"},{"code":"24435","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":2192,"gross_charge":2396,"discounted_cash":1797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1054}]}]},{"description":"Mesh Kugel 11cm X 14cm Oval Tissue Patch","code_information":[{"code":"50106","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":2191,"gross_charge":2395,"discounted_cash":1796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1054}]}]},{"description":"Mesh Kugel 14cm X 18cm Oval Tissue Patch","code_information":[{"code":"50119","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":2191,"gross_charge":2395,"discounted_cash":1796,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1054}]}]},{"description":"Plate Periart.locking Latrl.fiblr.4hlft","code_information":[{"code":"51123","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":2190,"gross_charge":2393,"discounted_cash":1795,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1053}]}]},{"description":"Plate Periart.locking Latrl.fiblr.4hrt","code_information":[{"code":"51131","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":495,"maximum":2190,"gross_charge":2393,"discounted_cash":1795,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2058},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1053}]}]},{"description":"Pxliver Biopsy","code_information":[{"code":"39997","type":"CDM"},{"code":"761","type":"RC"},{"code":"47000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":494,"maximum":2187,"gross_charge":2390,"discounted_cash":1793,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2010},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2055},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1052}]}]},{"description":"Plate Ss Dhs 95 Deg 16 Hole 274mm","code_information":[{"code":"50724","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50724","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":494,"maximum":2185,"gross_charge":2388,"discounted_cash":1791,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1051}]}]},{"description":"Hip Bipolar Cup 28mm Id 60mm Od","code_information":[{"code":"51880","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Hip Bipolar Cup 22mm Id 41mm Od","code_information":[{"code":"51881","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Hip Bipolar Cup 28mm Id 53mm Od","code_information":[{"code":"51884","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Hip Bipolar Cup 22mm Id 42mm Od","code_information":[{"code":"51893","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51893","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Hip Bipolar Cup 54mm Od","code_information":[{"code":"51894","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Hip Bipolar Cup 22mm Id 42/43mm Od","code_information":[{"code":"51908","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51908","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Solution Internal Referance","code_information":[{"code":"501895","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP501895","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"Low Serum Ise Calibration","code_information":[{"code":"501896","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP501896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2183,"gross_charge":2386,"discounted_cash":1790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2007},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1050}]}]},{"description":"47600 Open Cholecystectomy","code_information":[{"code":"CP17585603283905069","type":"CDM"},{"code":"510","type":"RC"},{"code":"47600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2182,"gross_charge":2385,"discounted_cash":1789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2182},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2051},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1049}]}]},{"description":"Pxbiopsy, Muscle, Perc Needle","code_information":[{"code":"40004","type":"CDM"},{"code":"761","type":"RC"},{"code":"20206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":493,"maximum":2180,"gross_charge":2383,"discounted_cash":1787,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2004},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2180},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1049}]}]},{"description":"Lap Endoclinch Ii 5mm 36cm","code_information":[{"code":"52171","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52171","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":2178,"gross_charge":2380,"discounted_cash":1785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1047}]}]},{"description":"Rr-rituximab Vial 10mg/ml","code_information":[{"code":"304395","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9312","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":2178,"gross_charge":2380,"discounted_cash":1785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1047}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydroxocobalamin 5gm Kit","code_information":[{"code":"300425","type":"CDM"},{"code":"250","type":"RC"},{"code":"50633031011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":492,"maximum":2177,"gross_charge":2379,"discounted_cash":1784,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1047}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"28445 Open Tx Talus Fx W/wo Int/ext Fix","code_information":[{"code":"CP17585603283889560","type":"CDM"},{"code":"510","type":"RC"},{"code":"28445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":2176,"gross_charge":2378,"discounted_cash":1784,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1046}]}]},{"description":"Ventilator Each Subsequent Day","code_information":[{"code":"60194","type":"CDM"},{"code":"410","type":"RC"},{"code":"94003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":492,"maximum":2175,"gross_charge":2377,"discounted_cash":1783,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1999},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1046}]}]},{"description":"Rr-actemra Vial 200mg/10ml","code_information":[{"code":"306355","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3262","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":491,"maximum":2170,"gross_charge":2372,"discounted_cash":1779,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1995},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2135},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1044}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ivig 10% (Immune Globulin) 5gm/50ml","code_information":[{"code":"304906","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1459","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":490,"maximum":2167,"gross_charge":2368,"discounted_cash":1776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1042}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"44604 Colorrhaphy W/o Colostomy","code_information":[{"code":"CP17585603283891970","type":"CDM"},{"code":"510","type":"RC"},{"code":"44604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":490,"maximum":2167,"gross_charge":2368,"discounted_cash":1776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1042}]}]},{"description":"Incomplete Rotator Cuff Tearor Rupture Lft Shoulder","code_information":[{"code":"CP17585603283946629","type":"CDM"},{"code":"510","type":"RC"},{"code":"29827","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":2164,"gross_charge":2365,"discounted_cash":1774,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1041}]}]},{"description":"Ex.fix. Clamp Tube-t0-tube","code_information":[{"code":"48110","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":489,"maximum":2164,"gross_charge":2365,"discounted_cash":1774,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1041}]}]},{"description":"Rr-gamunex-c 10% Vial 10gm/100ml","code_information":[{"code":"304982","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1561","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":488,"maximum":2159,"gross_charge":2360,"discounted_cash":1770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1038}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate Uls 1/3 Tubular 3.5mm X  144mm 11h","code_information":[{"code":"52680","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52680","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":488,"maximum":2159,"gross_charge":2360,"discounted_cash":1770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1038}]}]},{"description":"44345 Revision Of Colostomy","code_information":[{"code":"CP17585603283891874","type":"CDM"},{"code":"510","type":"RC"},{"code":"44345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2156,"gross_charge":2356,"discounted_cash":1767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1037}]}]},{"description":"Screw Chs Super Lag  55mm","code_information":[{"code":"48288","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  60mm","code_information":[{"code":"48289","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  65mm","code_information":[{"code":"48290","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48290","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  75mm","code_information":[{"code":"48292","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48292","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  80mm","code_information":[{"code":"48293","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  90mm","code_information":[{"code":"48295","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48295","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag  95mm","code_information":[{"code":"48296","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 100mm","code_information":[{"code":"48297","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 105mm","code_information":[{"code":"48298","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48298","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 110mm","code_information":[{"code":"48299","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48299","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 115mm","code_information":[{"code":"48300","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 120mm","code_information":[{"code":"48301","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 125mm","code_information":[{"code":"48302","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 130mm","code_information":[{"code":"48303","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 135mm","code_information":[{"code":"48304","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Screw Chs Super Lag 140mm","code_information":[{"code":"48305","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Plate Ti 2.0mm Lc-dcp 8 Hole","code_information":[{"code":"50667","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50667","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":487,"maximum":2153,"gross_charge":2353,"discounted_cash":1765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Reposition Rt Humeral Shaft With Internal Fixation","code_information":[{"code":"CP17585603283940692","type":"CDM"},{"code":"510","type":"RC"},{"code":"24430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":486,"maximum":2152,"gross_charge":2352,"discounted_cash":1764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2023},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1035}]}]},{"description":"Tube Gastrostomy Moss 18fr 18    (B4086)","code_information":[{"code":"49798","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49798","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":486,"maximum":2151,"gross_charge":2351,"discounted_cash":1763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1034}]}]},{"description":"Tube Mic  Gastrostomy 20 Fr","code_information":[{"code":"52567","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":486,"maximum":2151,"gross_charge":2351,"discounted_cash":1763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1034}]}]},{"description":"Tube Mic  Gastrostomy With Rece Dis14 Fr","code_information":[{"code":"52918","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52918","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":486,"maximum":2151,"gross_charge":2351,"discounted_cash":1763,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1867},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1034}]}]},{"description":"Hip Femoral Ceramic Head 28mm 0.0mm Nk","code_information":[{"code":"52816","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52816","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":2148,"gross_charge":2347,"discounted_cash":1760,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1033}]}]},{"description":"Biolox Delta Fem Head 28mm +3.5mm","code_information":[{"code":"52900","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":2148,"gross_charge":2347,"discounted_cash":1760,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1974},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1033}]}]},{"description":"Rr-ferric Carboxymaltose Vial 750mg/15ml","code_information":[{"code":"306612","type":"CDM"},{"code":"250","type":"RC"},{"code":"J1439","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":485,"maximum":2145,"gross_charge":2344,"discounted_cash":1758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1971},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1031}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Psn Asf Ps 10mm Ve R 6-9 Ef","code_information":[{"code":"52533","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52533","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn Mc   Asf 10mm Ve R 12mm 4-/5 Cd","code_information":[{"code":"53089","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn  Mc Asf Ve 11mm  R 8-11 Gh","code_information":[{"code":"53097","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn Asf Mc  13mm Ve L 8-9 Cd","code_information":[{"code":"53118","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn Mc Asf 14mm Ve L  6-7 Ef","code_information":[{"code":"53121","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn Mc Asf 12mm Ve R  6-7 Cd","code_information":[{"code":"53127","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Psn Mc Asf 13mm Ve L  6-7 Ef","code_information":[{"code":"53193","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53193","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":484,"maximum":2140,"gross_charge":2339,"discounted_cash":1754,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1029}]}]},{"description":"Total Knee Femoral Augment 64x5mm Dist.","code_information":[{"code":"48079","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":482,"maximum":2134,"gross_charge":2332,"discounted_cash":1749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2006},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1026}]}]},{"description":"Sleep Staging W/4 Or More, Pos Airway","code_information":[{"code":"37012","type":"CDM"},{"code":"929","type":"RC"},{"code":"95811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":481,"maximum":2129,"gross_charge":2327,"discounted_cash":1745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2001},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1024}]}]},{"description":"Tray Pneumothorax Wayne Set","code_information":[{"code":"52339","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":479,"maximum":2119,"gross_charge":2316,"discounted_cash":1737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1839},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1019}]}]},{"description":"Plate Ss 3.5mm Recon.  5 Hole","code_information":[{"code":"48730","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":478,"maximum":2115,"gross_charge":2311,"discounted_cash":1733,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1835},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2080},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1987},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1017}]}]},{"description":"25405 Rpr Non/malunion Fx Rad/ulna W Gra","code_information":[{"code":"CP17585603283869492","type":"CDM"},{"code":"510","type":"RC"},{"code":"25405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":478,"maximum":2113,"gross_charge":2309,"discounted_cash":1732,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2078},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1016}]}]},{"description":"Fusion Of Ankle Joint","code_information":[{"code":"CP17585603283915459","type":"CDM"},{"code":"510","type":"RC"},{"code":"27870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":2110,"gross_charge":2306,"discounted_cash":1730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1015}]}]},{"description":"49655 Lap Hernia Repr Incis Incar/stran","code_information":[{"code":"CP17585603283907869","type":"CDM"},{"code":"510","type":"RC"},{"code":"49655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":477,"maximum":2109,"gross_charge":2305,"discounted_cash":1729,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2075},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1014}]}]},{"description":"Plate T-buttress 6 Hole","code_information":[{"code":"48729","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48729","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":476,"maximum":2108,"gross_charge":2304,"discounted_cash":1728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1829},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1014}]}]},{"description":"Plate T-plate 8 Hole","code_information":[{"code":"48711","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":476,"maximum":2107,"gross_charge":2303,"discounted_cash":1727,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1829},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1937},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1013}]}]},{"description":"Mesh Prolene 12x12 Tissue Patch","code_information":[{"code":"49835","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP49835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":476,"maximum":2105,"gross_charge":2300,"discounted_cash":1725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1826},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2070},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1012}]}]},{"description":"Rr-gammagard 10% Vial  5gm/50ml","code_information":[{"code":"306921","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1569","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":474,"maximum":2099,"gross_charge":2294,"discounted_cash":1721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1973},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1821},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2099},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2065},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1973},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1009}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Obs Post Partum Balloonbakri","code_information":[{"code":"52132","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":474,"maximum":2095,"gross_charge":2290,"discounted_cash":1718,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1969},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2095},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1969},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1008}]}]},{"description":"Ct Up Ext-r W Cont","code_information":[{"code":"39243-RT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73201","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Up Ext-l W Cont","code_information":[{"code":"39244-LT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73201","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Low Ext-r W Cont","code_information":[{"code":"39261-RT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73701","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Low Ext-l W Cont","code_information":[{"code":"39262-LT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73701","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Max/facial W Cont","code_information":[{"code":"39307","type":"CDM"},{"code":"350","type":"RC"},{"code":"70487","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Cervical W Cont","code_information":[{"code":"39316","type":"CDM"},{"code":"350","type":"RC"},{"code":"72126","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"CT scan of pelvis with contrast","code_information":[{"code":"39319","type":"CDM"},{"code":"350","type":"RC"},{"code":"72193","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Thoracic W Cont","code_information":[{"code":"39328","type":"CDM"},{"code":"350","type":"RC"},{"code":"72129","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Lumbar W Cont","code_information":[{"code":"39331","type":"CDM"},{"code":"350","type":"RC"},{"code":"72132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Ct Abd W Cont","code_information":[{"code":"39486","type":"CDM"},{"code":"350","type":"RC"},{"code":"74160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":473,"maximum":2094,"gross_charge":2288,"discounted_cash":1716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2059},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1007}]}]},{"description":"Bone Graft Ilium Bicortical Block Large","code_information":[{"code":"48955","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":472,"maximum":2090,"gross_charge":2284,"discounted_cash":1713,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2056},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1005}]}]},{"description":"Plate Ti 2.4mm Condylar 8 Hole Right","code_information":[{"code":"50692","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50692","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":472,"maximum":2087,"gross_charge":2281,"discounted_cash":1711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1004}]}]},{"description":"Plate Ti 2.4mm Condylar 8 Hole Left","code_information":[{"code":"50693","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50693","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":472,"maximum":2087,"gross_charge":2281,"discounted_cash":1711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2087},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2053},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1004}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  131mm 10h","code_information":[{"code":"52679","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":471,"maximum":2084,"gross_charge":2278,"discounted_cash":1709,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2084},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1959},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1002}]}]},{"description":"Arthro Probe 2mm 60deg W/suct Monopolar","code_information":[{"code":"50507","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":470,"maximum":2082,"gross_charge":2275,"discounted_cash":1706,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1806},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2082},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1001}]}]},{"description":"Ligasure Lap Sealer/divider  5mm X 37cm","code_information":[{"code":"50324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":470,"maximum":2079,"gross_charge":2272,"discounted_cash":1704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1911},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2079},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1000}]}]},{"description":"Plate Locking Dcp 3.5mm X 261mm  20 Hole","code_information":[{"code":"52700","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52700","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":2074,"gross_charge":2267,"discounted_cash":1700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2074},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2040},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":997}]}]},{"description":"Cta Abd Aorta / Bilat Iliofemoral Runoff","code_information":[{"code":"40011","type":"CDM"},{"code":"350","type":"RC"},{"code":"75635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":469,"maximum":2073,"gross_charge":2266,"discounted_cash":1700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2073},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2039},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":997}]}]},{"description":"Mesh Symbotex 15cmx10cm","code_information":[{"code":"52240","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":2068,"gross_charge":2260,"discounted_cash":1695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":994}]}]},{"description":"Mesh Symbotex 25cmx15cm","code_information":[{"code":"52378","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":2068,"gross_charge":2260,"discounted_cash":1695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2068},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2034},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1944},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":994}]}]},{"description":"Hip Femoral Head 28mm +10.5mm Neck Lengt","code_information":[{"code":"48336","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":2065,"gross_charge":2257,"discounted_cash":1693,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2065},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":993}]}]},{"description":"Hip Femoral Head 28mm -3.5mm Neck Length","code_information":[{"code":"48494","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48494","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":2065,"gross_charge":2257,"discounted_cash":1693,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2065},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":993}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  118mm 9h","code_information":[{"code":"52678","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":467,"maximum":2065,"gross_charge":2257,"discounted_cash":1693,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2065},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2031},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":993}]}]},{"description":"27814 Open-bimalloelar Ankle Fract","code_information":[{"code":"CP17585603283882368","type":"CDM"},{"code":"510","type":"RC"},{"code":"27814","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2063,"gross_charge":2255,"discounted_cash":1691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":992}]}]},{"description":"Ct Arthrogram Up Ext","code_information":[{"code":"39996","type":"CDM"},{"code":"352","type":"RC"},{"code":"73202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2063,"gross_charge":2255,"discounted_cash":1691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2063},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2030},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":992}]}]},{"description":"Lap Inst Disp Fan Retractor  5mm","code_information":[{"code":"50373","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50373","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2062,"gross_charge":2254,"discounted_cash":1691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":992}]}]},{"description":"Rabies Vaccine 2.5iu/ml","code_information":[{"code":"302624","type":"CDM"},{"code":"636","type":"RC"},{"code":"50632001001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":466,"maximum":2062,"gross_charge":2254,"discounted_cash":1691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2062},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":992}]}],"drug_information":{"unit":25,"type":"F2"}},{"description":"Plate Ti 2.0mm Condylar 7 Hole Left","code_information":[{"code":"50658","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2061,"gross_charge":2253,"discounted_cash":1690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":991}]}]},{"description":"Plate Ti 2.0mm Condylar 7 Hole Right","code_information":[{"code":"50659","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50659","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2061,"gross_charge":2253,"discounted_cash":1690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1895},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2061},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2028},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1938},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":991}]}]},{"description":"Occluder Pin Hemmorrhage W/ Applicator","code_information":[{"code":"49805","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2060,"gross_charge":2251,"discounted_cash":1688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":990}]}]},{"description":"Femoral Nail Lag Screw 10.5mm Dia X 90mm","code_information":[{"code":"51838","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2060,"gross_charge":2251,"discounted_cash":1688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":990}]}]},{"description":"Femoral Stem 12/14 Sz 132 250mm Taper","code_information":[{"code":"52406","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":466,"maximum":2060,"gross_charge":2251,"discounted_cash":1688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2060},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":990}]}]},{"description":"Cebotome Metal Cut. Wheel Diamond 25.4mm","code_information":[{"code":"50481","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50481","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2050,"gross_charge":2240,"discounted_cash":1680,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1884},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2050},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2016},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":986}]}]},{"description":"Plate Ti Dcp Broad  8 Hole","code_information":[{"code":"50926","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50926","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2049,"gross_charge":2239,"discounted_cash":1679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":985}]}]},{"description":"Plate Ti Dcp Broad  9 Hole","code_information":[{"code":"50927","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2049,"gross_charge":2239,"discounted_cash":1679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":985}]}]},{"description":"Plate Ti Dcp Broad 10 Hole","code_information":[{"code":"50928","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2049,"gross_charge":2239,"discounted_cash":1679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2049},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":985}]}]},{"description":"Screw Standard Jig Set","code_information":[{"code":"52628","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2048,"gross_charge":2238,"discounted_cash":1679,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1777},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2048},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2014},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":985}]}]},{"description":"49040 Drainage Of Subdiaphrag Absc Open","code_information":[{"code":"CP17585603283909898","type":"CDM"},{"code":"510","type":"RC"},{"code":"49040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":463,"maximum":2047,"gross_charge":2237,"discounted_cash":1678,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1881},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2047},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2013},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1924},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":984}]}]},{"description":"Plate Ss Dhs 95 Deg 12 Hole 210mm","code_information":[{"code":"48267","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48267","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":2046,"gross_charge":2236,"discounted_cash":1677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":984}]}]},{"description":"Hip Femoral Head 28mm -3mm Neck Length","code_information":[{"code":"48425","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":2046,"gross_charge":2236,"discounted_cash":1677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":984}]}]},{"description":"Plate Ss Dhs 95 Deg 14 Hole 242mm","code_information":[{"code":"50723","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50723","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":2046,"gross_charge":2236,"discounted_cash":1677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1923},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":984}]}]},{"description":"Replacement Of Left Lower Eyle With Autologous Tissue Substitute","code_information":[{"code":"CP17585603283941566","type":"CDM"},{"code":"510","type":"RC"},{"code":"15260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":2045,"gross_charge":2235,"discounted_cash":1676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2045},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":983}]}]},{"description":"Rr-darbepoetin Inj.  150mcg/0.3ml","code_information":[{"code":"304402","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":462,"maximum":2044,"gross_charge":2234,"discounted_cash":1676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1774},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1879},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2011},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":983}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Remdesivir 100mg Vial","code_information":[{"code":"311514","type":"CDM"},{"code":"636","type":"RC"},{"code":"61958290102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":460,"maximum":2036,"gross_charge":2225,"discounted_cash":1669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"27511 Open Tx Femur Fx W/wo Int/ext Fix","code_information":[{"code":"CP17585603283877591","type":"CDM"},{"code":"510","type":"RC"},{"code":"27511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2036,"gross_charge":2225,"discounted_cash":1669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"27759 Treat-tibia Frac Intramed Implant","code_information":[{"code":"CP17585603283880976","type":"CDM"},{"code":"510","type":"RC"},{"code":"27759","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2036,"gross_charge":2225,"discounted_cash":1669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2036},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 125mm","code_information":[{"code":"48282","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48282","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 130mm","code_information":[{"code":"48283","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48283","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 135mm","code_information":[{"code":"48284","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48284","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 140mm","code_information":[{"code":"48285","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48285","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 145mm","code_information":[{"code":"48286","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48286","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Screw Chs Std.lag 140mm","code_information":[{"code":"48287","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48287","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}]},{"description":"Rr-ferric Carboxymaltose 750mg/250ml Ns","code_information":[{"code":"306613","type":"CDM"},{"code":"250","type":"RC"},{"code":"J1750","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":460,"maximum":2035,"gross_charge":2224,"discounted_cash":1668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2035},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":2002},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":979}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw Periart.cann.locking 5.5mm X 60mm","code_information":[{"code":"51139","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51139","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":459,"maximum":2029,"gross_charge":2218,"discounted_cash":1664,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":976}]}]},{"description":"Screw Periart.cann.locking 5.5mm X 65mm","code_information":[{"code":"51140","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":459,"maximum":2029,"gross_charge":2218,"discounted_cash":1664,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":976}]}]},{"description":"Screw Periart.cann.locking 5.5mm X 70mm","code_information":[{"code":"51141","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":459,"maximum":2029,"gross_charge":2218,"discounted_cash":1664,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2029},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":976}]}]},{"description":"Plate Ss Chs Std.barrel 130deg 14 Hole","code_information":[{"code":"48240","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":2027,"gross_charge":2215,"discounted_cash":1661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2027},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1905},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":975}]}]},{"description":"Plate Distal Dorsal T Radial 3hrght","code_information":[{"code":"50557","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50557","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":458,"maximum":2026,"gross_charge":2214,"discounted_cash":1661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":974}]}]},{"description":"Plate Periart.dorsal T Radial 4hx55mm","code_information":[{"code":"50556","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":457,"maximum":2022,"gross_charge":2210,"discounted_cash":1658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2022},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":972}]}]},{"description":"Prothrombin Complex 4-fac 500 Units Vial","code_information":[{"code":"312803","type":"CDM"},{"code":"250","type":"RC"},{"code":"68982026101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":456,"maximum":2019,"gross_charge":2207,"discounted_cash":1655,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2019},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1898},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":971}]}],"drug_information":{"unit":500,"type":"UN"}},{"description":"Zz Caspofungin 70mg Vial","code_information":[{"code":"304373","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0637","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":2015,"gross_charge":2202,"discounted_cash":1652,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1748},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2015},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1894},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":969}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"29888 Arthorscopic-ant Crudate Lig Rep","code_information":[{"code":"CP17585603283890456","type":"CDM"},{"code":"510","type":"RC"},{"code":"29888","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":455,"maximum":2012,"gross_charge":2199,"discounted_cash":1649,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1746},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1849},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2012},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1891},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":968}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  105mm 8h","code_information":[{"code":"52677","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52677","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":2008,"gross_charge":2195,"discounted_cash":1646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1976},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1888},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":966}]}]},{"description":"Cath Ureteral Bush Singl Lumen Illumntng","code_information":[{"code":"52139","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52139","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":454,"maximum":2008,"gross_charge":2194,"discounted_cash":1646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":965}]}]},{"description":"Tray Dialysis Cath 13.5fr 2lumen Hickman","code_information":[{"code":"50285","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50285","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":453,"maximum":2003,"gross_charge":2189,"discounted_cash":1642,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2003},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1970},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":963}]}]},{"description":"Hip Femoral Head 43mm Versys 12/14taper","code_information":[{"code":"51080","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 42mm Versys 12/14taper","code_information":[{"code":"51995","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 48mm Versys 12/14taper","code_information":[{"code":"51069","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 49mm Versys 12/14taper","code_information":[{"code":"51963","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 41mm Versys 12/14taper","code_information":[{"code":"51087","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 46mm Versys 12/14taper","code_information":[{"code":"51968","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51968","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 44mm Versys 12/14taper","code_information":[{"code":"52115","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Hip Femoral Head 45mm Versys 12/14taper","code_information":[{"code":"52121","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":2000,"gross_charge":2186,"discounted_cash":1640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1736},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2000},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":962}]}]},{"description":"Comp Rvrs Shldr Glnsp Std 36mm","code_information":[{"code":"53160","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":452,"maximum":1998,"gross_charge":2184,"discounted_cash":1638,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1998},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":961}]}]},{"description":"44021 Decompress Small Bowel","code_information":[{"code":"CP17585603283898471","type":"CDM"},{"code":"510","type":"RC"},{"code":"44021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1996,"gross_charge":2181,"discounted_cash":1636,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1834},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1996},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":960}]}]},{"description":"Mesh Parietx Compsite 6cmventral Patch","code_information":[{"code":"52255","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":451,"maximum":1994,"gross_charge":2179,"discounted_cash":1634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1994},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":959}]}]},{"description":"Morphine Liposomal Injection 10mg/ml Sdv","code_information":[{"code":"304336","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2270","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":450,"maximum":1993,"gross_charge":2178,"discounted_cash":1634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1993},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1873},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":958}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Stylet Peritoneal Faller Tunneling","code_information":[{"code":"52216","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":450,"maximum":1991,"gross_charge":2176,"discounted_cash":1632,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1830},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1991},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1871},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Plate Ss Dhs Std.brrl 135deg  2 Hole Kyl","code_information":[{"code":"52510","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52510","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":450,"maximum":1989,"gross_charge":2174,"discounted_cash":1631,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1989},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1870},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":957}]}]},{"description":"Removal Fb Deep Thigh/knee","code_information":[{"code":"65575","type":"CDM"},{"code":"450","type":"RC"},{"code":"27372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":449,"maximum":1986,"gross_charge":2170,"discounted_cash":1628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":955}]}]},{"description":"27507 Open-fem Shaft Fract W Plt/screws","code_information":[{"code":"CP17585603283870280","type":"CDM"},{"code":"510","type":"RC"},{"code":"27507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":449,"maximum":1986,"gross_charge":2170,"discounted_cash":1628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1986},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1953},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":955}]}]},{"description":"Hip Femoral Head 50mm Versys 12/14taper","code_information":[{"code":"51856","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":449,"maximum":1985,"gross_charge":2169,"discounted_cash":1627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":954}]}]},{"description":"Hip Femoral Head 40mm Versys 12/14taper","code_information":[{"code":"51957","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":449,"maximum":1985,"gross_charge":2169,"discounted_cash":1627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1824},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1985},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1952},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":954}]}]},{"description":"Stapler Endo Linear Cutter 35mm","code_information":[{"code":"49492","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":448,"maximum":1984,"gross_charge":2168,"discounted_cash":1626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1823},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1984},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1951},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":954}]}]},{"description":"Plate Ss Chs Supracondylar 90d 12hole","code_information":[{"code":"48266","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":448,"maximum":1983,"gross_charge":2167,"discounted_cash":1625,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1983},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":953}]}]},{"description":"Cable Device Short Gtr","code_information":[{"code":"50451","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50451","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":448,"maximum":1982,"gross_charge":2166,"discounted_cash":1625,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1982},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1949},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":953}]}]},{"description":"Repair Non Union Hand","code_information":[{"code":"CP17585603283941761","type":"CDM"},{"code":"510","type":"RC"},{"code":"26546","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":448,"maximum":1980,"gross_charge":2164,"discounted_cash":1623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1980},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":952}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz P4","code_information":[{"code":"48371","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48371","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":447,"maximum":1979,"gross_charge":2163,"discounted_cash":1622,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1860},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1979},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1947},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1860},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":952}]}]},{"description":"Tray Trnsgstrc-jejunl Feed Tube 18fr30cm","code_information":[{"code":"52089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":447,"maximum":1978,"gross_charge":2162,"discounted_cash":1622,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1978},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1946},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1859},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":951}]}]},{"description":"27514 Open Tx Femur Fx Distal W/w/o Fix","code_information":[{"code":"CP17585603283875745","type":"CDM"},{"code":"510","type":"RC"},{"code":"27514","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":446,"maximum":1975,"gross_charge":2158,"discounted_cash":1619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":950}]}]},{"description":"Screw Periart.cann.conical 5.5mm X 80mm","code_information":[{"code":"51138","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":446,"maximum":1975,"gross_charge":2158,"discounted_cash":1619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1975},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":950}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  80mm","code_information":[{"code":"50626","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50626","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":446,"maximum":1973,"gross_charge":2156,"discounted_cash":1617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1973},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":949}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  85mm","code_information":[{"code":"50627","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":446,"maximum":1973,"gross_charge":2156,"discounted_cash":1617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1973},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1854},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":949}]}]},{"description":"23420 Rot Cuff Rep, Chronic, Incl/acro","code_information":[{"code":"CP17585603283867354","type":"CDM"},{"code":"510","type":"RC"},{"code":"23420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":446,"maximum":1972,"gross_charge":2155,"discounted_cash":1616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1711},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1972},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1940},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1853},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":948}]}]},{"description":"Stapler Curved Contour Cutter 55mm","code_information":[{"code":"49785","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1968,"gross_charge":2151,"discounted_cash":1613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Tray Picc Cath 4fr Sngl Lumen Pwr","code_information":[{"code":"50128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1968,"gross_charge":2151,"discounted_cash":1613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Tray Picc Cath 5fr Sngl Lumen Pwr","code_information":[{"code":"50129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1968,"gross_charge":2151,"discounted_cash":1613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Tray Picc Cath 5fr Dual Lumen Pwr","code_information":[{"code":"52381","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52381","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":445,"maximum":1968,"gross_charge":2151,"discounted_cash":1613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1809},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Versafix Tube Plate 135mm Dia, 4-hole","code_information":[{"code":"52280","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52280","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1966,"gross_charge":2149,"discounted_cash":1612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Versafix Std Tube Plate 135mm, 4-hole","code_information":[{"code":"52315","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1966,"gross_charge":2149,"discounted_cash":1612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Versafix Std Tube Plate 130mm, 4-hole","code_information":[{"code":"52321","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1966,"gross_charge":2149,"discounted_cash":1612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1966},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1934},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":946}]}]},{"description":"Mesh Composix E/x  4 X6  Non-absorable","code_information":[{"code":"50246","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50246","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1963,"gross_charge":2145,"discounted_cash":1609,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1931},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":944}]}]},{"description":"Mesh Ventralight St With Echo 6 X8","code_information":[{"code":"52907","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":444,"maximum":1963,"gross_charge":2145,"discounted_cash":1609,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1804},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1931},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":944}]}]},{"description":"Plate Distal Volar Radial Medial 3hrght","code_information":[{"code":"51043","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1962,"gross_charge":2144,"discounted_cash":1608,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1962},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1930},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1844},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":943}]}]},{"description":"Stapler Lds 15w","code_information":[{"code":"49797","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49797","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1961,"gross_charge":2143,"discounted_cash":1607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1961},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1843},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":943}]}]},{"description":"Rr-erythropoetin Inj. 40,000units/ml","code_information":[{"code":"304172","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1960,"gross_charge":2142,"discounted_cash":1607,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1960},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1842},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":942}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cable Bone Plate  6 Hole","code_information":[{"code":"50449","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50449","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1958,"gross_charge":2140,"discounted_cash":1605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":942}]}]},{"description":"Gtr Extended 4 Hole W/4 Cables 23x232mm","code_information":[{"code":"52384","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":443,"maximum":1958,"gross_charge":2140,"discounted_cash":1605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1958},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":942}]}]},{"description":"Plate T-buttress 5 Hole","code_information":[{"code":"48728","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48728","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1957,"gross_charge":2139,"discounted_cash":1604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1957},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1925},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":941}]}]},{"description":"3.5mm Prox Tib Plate/jig Case","code_information":[{"code":"52625","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52625","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":442,"maximum":1954,"gross_charge":2135,"discounted_cash":1601,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1954},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1836},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":939}]}]},{"description":"Plate Reduction Instrument 3.5/2.7mm","code_information":[{"code":"52633","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52633","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":441,"maximum":1950,"gross_charge":2131,"discounted_cash":1598,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Repostion Lft Upper Arm With Internal Fixation","code_information":[{"code":"CP17585603283956804","type":"CDM"},{"code":"510","type":"RC"},{"code":"27240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":441,"maximum":1950,"gross_charge":2131,"discounted_cash":1598,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1950},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":938}]}]},{"description":"Oxf Anat Brg Lt Sm Size 5 Pma","code_information":[{"code":"53151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1945,"gross_charge":2126,"discounted_cash":1595,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"Oxf Uni Cmntls Tib  Sz B Lm","code_information":[{"code":"53207","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1945,"gross_charge":2126,"discounted_cash":1595,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"27823 Open-trim Ank Frac W/wo I/e Fix","code_information":[{"code":"CP17585603283880912","type":"CDM"},{"code":"510","type":"RC"},{"code":"27823","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1945,"gross_charge":2126,"discounted_cash":1595,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"Osteotomy Clavicle With Bone Graft","code_information":[{"code":"CP17585603283943451","type":"CDM"},{"code":"510","type":"RC"},{"code":"23485","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":440,"maximum":1945,"gross_charge":2126,"discounted_cash":1595,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1945},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"Tp53 Somatic Mutation Prognosticquest","code_information":[{"code":"758729","type":"CDM"},{"code":"300","type":"RC"},{"code":"81352","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":439,"maximum":1943,"gross_charge":2124,"discounted_cash":1593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1912},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":935}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65500","type":"CDM"},{"code":"450","type":"RC"},{"code":"12037","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":439,"maximum":1942,"gross_charge":2122,"discounted_cash":1592,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":934}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65504","type":"CDM"},{"code":"450","type":"RC"},{"code":"12047","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":439,"maximum":1942,"gross_charge":2122,"discounted_cash":1592,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1910},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":934}]}]},{"description":"Or/other 46-60 Min","code_information":[{"code":"17303","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":438,"maximum":1939,"gross_charge":2119,"discounted_cash":1589,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":932}]}]},{"description":"Zz Caspofungin 50mg Vial","code_information":[{"code":"304374","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0637","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":438,"maximum":1939,"gross_charge":2119,"discounted_cash":1589,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1939},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":932}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Harmonic Scalpel Dissect.hook 5mm X 32cm","code_information":[{"code":"50342","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":438,"maximum":1936,"gross_charge":2116,"discounted_cash":1587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1780},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1936},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1820},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Phentolamine Vial 5mg","code_information":[{"code":"312691","type":"CDM"},{"code":"250","type":"RC"},{"code":"68094010120","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":437,"maximum":1935,"gross_charge":2115,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Plate Ss Dhs Std.barrel 135deg 14 Hole","code_information":[{"code":"48241","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1935,"gross_charge":2115,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg 14 Hole","code_information":[{"code":"48242","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48242","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1935,"gross_charge":2115,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg 14 Hole","code_information":[{"code":"48243","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1935,"gross_charge":2115,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg 14 Hole","code_information":[{"code":"48244","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1935,"gross_charge":2115,"discounted_cash":1586,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1679},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1904},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1819},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":931}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  92mm 7h","code_information":[{"code":"51197","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1932,"gross_charge":2112,"discounted_cash":1584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1901},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":929}]}]},{"description":"Hip Unipolar Head 52mm","code_information":[{"code":"48436","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":437,"maximum":1932,"gross_charge":2111,"discounted_cash":1583,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1932},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1815},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":929}]}]},{"description":"Plate Distal Dorsal T Radial 2hrght","code_information":[{"code":"51019","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":436,"maximum":1929,"gross_charge":2108,"discounted_cash":1581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":928}]}]},{"description":"Im Nail Humeral End Cap","code_information":[{"code":"50513","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50513","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":436,"maximum":1929,"gross_charge":2108,"discounted_cash":1581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1929},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1813},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":928}]}]},{"description":"Ct Head W Cont","code_information":[{"code":"39301","type":"CDM"},{"code":"350","type":"RC"},{"code":"70460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Ct Orbit/iac W Cont","code_information":[{"code":"39304","type":"CDM"},{"code":"350","type":"RC"},{"code":"70481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Ct Soft Tissue Neck W Cont","code_information":[{"code":"39310","type":"CDM"},{"code":"350","type":"RC"},{"code":"70491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Ct Chest W Cont","code_information":[{"code":"39313","type":"CDM"},{"code":"350","type":"RC"},{"code":"71260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Cta Abdomen","code_information":[{"code":"39625","type":"CDM"},{"code":"350","type":"RC"},{"code":"74175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Cta Abdomen/pelvis W/wo Contrast","code_information":[{"code":"40010","type":"CDM"},{"code":"350","type":"RC"},{"code":"74174","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":434,"maximum":1921,"gross_charge":2099,"discounted_cash":1574,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1765},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":924}]}]},{"description":"Morcellator Cutter 12mm","code_information":[{"code":"50348","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50348","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1918,"gross_charge":2096,"discounted_cash":1572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1664},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1918},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1803},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Mesh Kugel  8cm X 12cm Oval Tissue Patch","code_information":[{"code":"50105","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1917,"gross_charge":2095,"discounted_cash":1571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Plate Ti T-buttress  4 Hole","code_information":[{"code":"50932","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1917,"gross_charge":2095,"discounted_cash":1571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Lap Inst Disp Spec. Retrieval Bag 10mm","code_information":[{"code":"49447","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49447","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1917,"gross_charge":2095,"discounted_cash":1571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1917},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1886},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":922}]}]},{"description":"Open Tx Hip Dislocation, Traumatic W/o Internal Fixation","code_information":[{"code":"CP17585603283948812","type":"CDM"},{"code":"510","type":"RC"},{"code":"27253","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1916,"gross_charge":2094,"discounted_cash":1571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1916},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1885},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":921}]}]},{"description":"44050 Laparotomy To Reduce Vol/intss/her","code_information":[{"code":"CP17585603283891376","type":"CDM"},{"code":"510","type":"RC"},{"code":"44050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":433,"maximum":1914,"gross_charge":2092,"discounted_cash":1569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1914},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1883},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":920}]}]},{"description":"27030 Arthrotomy, Hip W/drain (I&d Inf)","code_information":[{"code":"CP17585603283870022","type":"CDM"},{"code":"510","type":"RC"},{"code":"27030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1908,"gross_charge":2085,"discounted_cash":1564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1793},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1908},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1793},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":917}]}]},{"description":"Plate Channel 4 Hole","code_information":[{"code":"48091","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1907,"gross_charge":2084,"discounted_cash":1563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":917}]}]},{"description":"Ccppsodium Hyaluronate 1% 2ml Syringe","code_information":[{"code":"312354","type":"CDM"},{"code":"250","type":"RC"},{"code":"J7323","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1907,"gross_charge":2084,"discounted_cash":1563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":917}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Stapler Ligaclip Multifeed Med/lg 5mm","code_information":[{"code":"50210","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1906,"gross_charge":2083,"discounted_cash":1562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":917}]}]},{"description":"Stapler Ligaclip Multifeed Med/lg 5mm","code_information":[{"code":"52549","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52549","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":431,"maximum":1906,"gross_charge":2083,"discounted_cash":1562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1906},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1875},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":917}]}]},{"description":"Hip Femoral Stem Solid Large 165mm","code_information":[{"code":"48452","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48452","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Plate T-buttress 4 Hole","code_information":[{"code":"48704","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  30mm","code_information":[{"code":"50600","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  35mm","code_information":[{"code":"50601","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50601","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  40mm","code_information":[{"code":"50602","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50602","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  45mm","code_information":[{"code":"50603","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  50mm","code_information":[{"code":"50604","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  55mm","code_information":[{"code":"50605","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  60mm","code_information":[{"code":"50606","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  70mm","code_information":[{"code":"50607","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50607","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  75mm","code_information":[{"code":"50608","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50608","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  80mm","code_information":[{"code":"50609","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50609","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  85mm","code_information":[{"code":"50610","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  90mm","code_information":[{"code":"50611","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  95mm","code_information":[{"code":"50612","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 100mm","code_information":[{"code":"50613","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 105mm","code_information":[{"code":"50614","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50614","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 110mm","code_information":[{"code":"50615","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50615","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 115mm","code_information":[{"code":"50616","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50616","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 120mm","code_information":[{"code":"50617","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50617","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 125mm","code_information":[{"code":"50618","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd 130mm","code_information":[{"code":"50619","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50619","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  50mm","code_information":[{"code":"50620","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  55mm","code_information":[{"code":"50621","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  60mm","code_information":[{"code":"50622","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  65mm","code_information":[{"code":"50623","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  70mm","code_information":[{"code":"50624","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  75mm","code_information":[{"code":"50625","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50625","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  90mm","code_information":[{"code":"50628","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd  95mm","code_information":[{"code":"50629","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 100mm","code_information":[{"code":"50630","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50630","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 105mm","code_information":[{"code":"50631","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50631","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 110mm","code_information":[{"code":"50632","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50632","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 115mm","code_information":[{"code":"50633","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50633","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 120mm","code_information":[{"code":"50634","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 125mm","code_information":[{"code":"50635","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 32mm Thrd 130mm","code_information":[{"code":"50636","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Screw Ti Cann.7.3mm 16mm Thrd  65mm","code_information":[{"code":"50637","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50637","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Plate Ti 2.4mm T-plate 3 Hole/8 Hole","code_information":[{"code":"50690","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50690","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Dist Femur Screw Canc 5.0mm X 80mm","code_information":[{"code":"51001","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"Dist Femur Screw Canc 5.0mm X 85mm","code_information":[{"code":"51002","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1903,"gross_charge":2080,"discounted_cash":1560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":915}]}]},{"description":"49561 Rpr Inc/vent Hernia Incarc/strang","code_information":[{"code":"CP17585603283903517","type":"CDM"},{"code":"510","type":"RC"},{"code":"49561","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":430,"maximum":1900,"gross_charge":2077,"discounted_cash":1558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1747},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1786},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":914}]}]},{"description":"Stapler Ta30-4.8","code_information":[{"code":"49720","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49720","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":429,"maximum":1900,"gross_charge":2076,"discounted_cash":1557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1746},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1900},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":913}]}]},{"description":"Stapler Ta90-4.8","code_information":[{"code":"49537","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49537","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":429,"maximum":1897,"gross_charge":2073,"discounted_cash":1555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1897},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1866},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1783},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":912}]}]},{"description":"49653 Lap Hernia Repair Vuse Incar/stra","code_information":[{"code":"CP17585603283905824","type":"CDM"},{"code":"510","type":"RC"},{"code":"49653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1896,"gross_charge":2072,"discounted_cash":1554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1896},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1865},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":912}]}]},{"description":"27880 Amputation Leg Thru Tibia/fibula","code_information":[{"code":"CP17585603283885067","type":"CDM"},{"code":"510","type":"RC"},{"code":"27880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1893,"gross_charge":2069,"discounted_cash":1552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1893},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1862},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":910}]}]},{"description":"24545 Supra Elb O-treat W+wo/int/ext Fix","code_information":[{"code":"CP17585603283868108","type":"CDM"},{"code":"510","type":"RC"},{"code":"24545","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":428,"maximum":1892,"gross_charge":2068,"discounted_cash":1551,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1892},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1861},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1778},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":910}]}]},{"description":"Hip Femoral Head 28mm +0mm Neck Length","code_information":[{"code":"48370","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":426,"maximum":1887,"gross_charge":2062,"discounted_cash":1547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1887},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":907}]}]},{"description":"15240 Skin Full Graft Face/gen/hf","code_information":[{"code":"CP17585603283836616","type":"CDM"},{"code":"510","type":"RC"},{"code":"15240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":425,"maximum":1882,"gross_charge":2057,"discounted_cash":1543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":905}]}]},{"description":"Plate Buttress Right Distal","code_information":[{"code":"48090","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":425,"maximum":1882,"gross_charge":2057,"discounted_cash":1543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":905}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz P5","code_information":[{"code":"48380","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":425,"maximum":1882,"gross_charge":2057,"discounted_cash":1543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1882},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1851},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1769},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":905}]}]},{"description":"Laparoscopy, Surgical; Enterolysis (Free","code_information":[{"code":"CP17585603283941049","type":"CDM"},{"code":"510","type":"RC"},{"code":"44180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":425,"maximum":1880,"gross_charge":2055,"discounted_cash":1541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1880},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1850},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":904}]}]},{"description":"49656 Lap Hernia Repr Incis Recurr","code_information":[{"code":"CP17585603283908596","type":"CDM"},{"code":"510","type":"RC"},{"code":"49656","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":424,"maximum":1877,"gross_charge":2051,"discounted_cash":1538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":902}]}]},{"description":"Z Nail  10.5mm X 100 Lag Screw","code_information":[{"code":"52961","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52961","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":424,"maximum":1877,"gross_charge":2051,"discounted_cash":1538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1877},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1846},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1764},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":902}]}]},{"description":"Rr-actemra Vial  80mg/4ml","code_information":[{"code":"306357","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3262","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":424,"maximum":1876,"gross_charge":2050,"discounted_cash":1538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":902}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate Uls Recon 3.5mm X  79mm 6h","code_information":[{"code":"51196","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":424,"maximum":1876,"gross_charge":2050,"discounted_cash":1538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1876},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":902}]}]},{"description":"Airspiral Tube And Chamber Kit Airvo","code_information":[{"code":"52854","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":423,"maximum":1872,"gross_charge":2046,"discounted_cash":1535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1872},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1841},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1760},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":900}]}]},{"description":"Plate Volar Radial Lateral 4hole Left","code_information":[{"code":"50441","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50441","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":422,"maximum":1868,"gross_charge":2041,"discounted_cash":1531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":898}]}]},{"description":"Plate Volar Radial Lateral 4hole Right","code_information":[{"code":"50442","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":422,"maximum":1868,"gross_charge":2041,"discounted_cash":1531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":898}]}]},{"description":"Plate Volar Radial Medial 5hole Left","code_information":[{"code":"50445","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50445","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":422,"maximum":1868,"gross_charge":2041,"discounted_cash":1531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":898}]}]},{"description":"Plate Volar Radial Medial 5hole Right","code_information":[{"code":"50446","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":422,"maximum":1868,"gross_charge":2041,"discounted_cash":1531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":898}]}]},{"description":"Plate Ss Dhs 95 Deg  6 Hole 114mm","code_information":[{"code":"50725","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":422,"maximum":1868,"gross_charge":2041,"discounted_cash":1531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":898}]}]},{"description":"Plate Ti 2.4mm Straight 12 Hole","code_information":[{"code":"50688","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1864,"gross_charge":2037,"discounted_cash":1528,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Screw Ncb 65mm","code_information":[{"code":"51984","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1864,"gross_charge":2037,"discounted_cash":1528,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Screw Ncb 40mm","code_information":[{"code":"51985","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51985","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1864,"gross_charge":2037,"discounted_cash":1528,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Screw Ncb 36mm","code_information":[{"code":"51986","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51986","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1864,"gross_charge":2037,"discounted_cash":1528,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Screw Ncb 34mm","code_information":[{"code":"51987","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1864,"gross_charge":2037,"discounted_cash":1528,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1713},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Hip Femoral Head 47mm Versys 12/14taper","code_information":[{"code":"52058","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":421,"maximum":1863,"gross_charge":2036,"discounted_cash":1527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1863},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1751},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":896}]}]},{"description":"Mesh Ventral/inguina 3 X6  Non-absorable","code_information":[{"code":"502983","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP502983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":420,"maximum":1857,"gross_charge":2030,"discounted_cash":1523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1827},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":893}]}]},{"description":"Or 16-30 2 Units","code_information":[{"code":"17102","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":419,"maximum":1856,"gross_charge":2028,"discounted_cash":1521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1610},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1744},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":892}]}]},{"description":"Mesh Prolene Soft 6x6 Tissue Patch","code_information":[{"code":"52065","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":419,"maximum":1852,"gross_charge":2024,"discounted_cash":1518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1852},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1822},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1741},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":891}]}]},{"description":"Hip Femoral Stem Solid Small 145mm","code_information":[{"code":"48450","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48450","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":418,"maximum":1848,"gross_charge":2020,"discounted_cash":1515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":889}]}]},{"description":"Hip Femoral Stem Solid X-large 175mm","code_information":[{"code":"48453","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":418,"maximum":1848,"gross_charge":2020,"discounted_cash":1515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1848},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":889}]}]},{"description":"Rr-filgrastim Inj. 480mcg/1.6ml","code_information":[{"code":"303883","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1442","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":417,"maximum":1845,"gross_charge":2016,"discounted_cash":1512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1845},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":887}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bone Graft Canc. Strip 40-50mm","code_information":[{"code":"48953","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48953","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1838,"gross_charge":2009,"discounted_cash":1507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":884}]}]},{"description":"Plate Ti 2.4mm Y-plate 3 Hole/8 Hole","code_information":[{"code":"50691","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1838,"gross_charge":2009,"discounted_cash":1507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1838},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1808},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":884}]}]},{"description":"Screw Inter-digital Fusion Mid 4.3x6mm","code_information":[{"code":"50436","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1837,"gross_charge":2008,"discounted_cash":1506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1689},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":884}]}]},{"description":"Screw Inter-digital Fusion Prox 3.8mm","code_information":[{"code":"50437","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1837,"gross_charge":2008,"discounted_cash":1506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1689},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":884}]}]},{"description":"Screw Inter-digital Fusion Mid 5.0x6mm","code_information":[{"code":"50460","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":415,"maximum":1837,"gross_charge":2008,"discounted_cash":1506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1689},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1807},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":884}]}]},{"description":"Plate Uls 3.5mm X  235mm 18h","code_information":[{"code":"52686","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52686","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":414,"maximum":1832,"gross_charge":2002,"discounted_cash":1502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":881}]}]},{"description":"27535 Open-tibial Fx; Unicondylar","code_information":[{"code":"CP17585603283873640","type":"CDM"},{"code":"510","type":"RC"},{"code":"27535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":414,"maximum":1832,"gross_charge":2002,"discounted_cash":1502,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1802},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":881}]}]},{"description":"25575 Orif Radius And Ulna","code_information":[{"code":"CP17585603283865735","type":"CDM"},{"code":"510","type":"RC"},{"code":"25575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":414,"maximum":1831,"gross_charge":2001,"discounted_cash":1501,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1683},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1831},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":880}]}]},{"description":"Arthro Abs.pin Kit 40mm X 1.3mm","code_information":[{"code":"48939","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48939","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":413,"maximum":1828,"gross_charge":1998,"discounted_cash":1499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1828},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1798},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":879}]}]},{"description":"Plate Ti T Sml 3h Hd/5 Hole Shft Oblique","code_information":[{"code":"50709","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":413,"maximum":1825,"gross_charge":1995,"discounted_cash":1496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1796},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":878}]}]},{"description":"Tube Thoracostomy Conn To Dng Sys Bil","code_information":[{"code":"65934-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"32551","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":412,"maximum":1825,"gross_charge":1994,"discounted_cash":1496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1715},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":877}]}]},{"description":"Plate Ss Dhs 95 Deg  8 Hole 146mm","code_information":[{"code":"48263","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48263","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":410,"maximum":1816,"gross_charge":1985,"discounted_cash":1489,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1816},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1707},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"27758 Open Tib Shaft Frac W/plate Screws","code_information":[{"code":"CP17585603283886181","type":"CDM"},{"code":"510","type":"RC"},{"code":"27758","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":410,"maximum":1814,"gross_charge":1983,"discounted_cash":1487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Hip Femoral Stem Solid Medium 155mm","code_information":[{"code":"48451","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48451","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":410,"maximum":1814,"gross_charge":1983,"discounted_cash":1487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Hip Femoral Stem Fen. Large 165mm","code_information":[{"code":"48457","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":410,"maximum":1814,"gross_charge":1983,"discounted_cash":1487,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1814},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1785},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":873}]}]},{"description":"Opt Surg Pack Vitrectomy","code_information":[{"code":"49427","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":408,"maximum":1805,"gross_charge":1973,"discounted_cash":1480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1776},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":868}]}]},{"description":"Hip Femoral Head 28mm +4mm Neck Length","code_information":[{"code":"48379","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1801,"gross_charge":1968,"discounted_cash":1476,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":866}]}]},{"description":"23615 Open-prox Humerus Fracture","code_information":[{"code":"CP17585603283869434","type":"CDM"},{"code":"510","type":"RC"},{"code":"23615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":407,"maximum":1800,"gross_charge":1967,"discounted_cash":1475,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1800},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1770},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":865}]}]},{"description":"Stapler Linear Cutter 100mm Tlc10","code_information":[{"code":"52210","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":406,"maximum":1795,"gross_charge":1962,"discounted_cash":1472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":863}]}]},{"description":"Rr-ferumoxytol Vial 510mg/17ml","code_information":[{"code":"306401","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q0138","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":406,"maximum":1795,"gross_charge":1962,"discounted_cash":1472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1795},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":863}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate Volar Radial Lateral 3hole Left","code_information":[{"code":"50439","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Plate Volar Radial Lateral 3hole Right","code_information":[{"code":"50440","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50440","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Plate Volar Radial Medial 3hole Left","code_information":[{"code":"50443","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Plate Volar Radial Medial 3hole Right","code_information":[{"code":"50444","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1959,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Inj, Genicular Nerve Branchrt/lt","code_information":[{"code":"850075","type":"CDM"},{"code":"360","type":"RC"},{"code":"64454","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1958,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Inj, Dx Or Thx Subs W/imagingrt","code_information":[{"code":"850045","type":"CDM"},{"code":"360","type":"RC"},{"code":"62321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1958,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"850051","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":405,"maximum":1792,"gross_charge":1958,"discounted_cash":1469,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":862}]}]},{"description":"Total Knee Patella Dome 38mm","code_information":[{"code":"48054","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1788,"gross_charge":1954,"discounted_cash":1466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1788},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1759},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":860}]}]},{"description":"44960 Appendectomy Rupture/absc Or Perit","code_information":[{"code":"CP17585603283901269","type":"CDM"},{"code":"510","type":"RC"},{"code":"44960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1787,"gross_charge":1953,"discounted_cash":1465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":859}]}]},{"description":"Open Extended Jaw (Thunderbeat)","code_information":[{"code":"52455","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52455","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1787,"gross_charge":1953,"discounted_cash":1465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":859}]}]},{"description":"Poly Loop Single Use Lighting Device","code_information":[{"code":"52470","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52470","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":404,"maximum":1787,"gross_charge":1953,"discounted_cash":1465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":859}]}]},{"description":"24515 Open-humeral Shft Fx W/ Plt/screws","code_information":[{"code":"CP17585603283869490","type":"CDM"},{"code":"510","type":"RC"},{"code":"24515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":403,"maximum":1782,"gross_charge":1948,"discounted_cash":1461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":857}]}]},{"description":"27720 Repr Nonunion Tibia Fx W/o Graft","code_information":[{"code":"CP17585603283886763","type":"CDM"},{"code":"510","type":"RC"},{"code":"27720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":403,"maximum":1782,"gross_charge":1948,"discounted_cash":1461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1638},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1782},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1753},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1675},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":857}]}]},{"description":"Hip Unipolar Head 47mm","code_information":[{"code":"50417","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50417","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":402,"maximum":1779,"gross_charge":1944,"discounted_cash":1458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1635},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1779},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":855}]}]},{"description":"Psn Straight Hyb St 14x+30m","code_information":[{"code":"53086","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":401,"maximum":1775,"gross_charge":1940,"discounted_cash":1455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1775},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1746},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":854}]}]},{"description":"Plate Ti 2.4mm T-plate 2 Hole/8 Hole","code_information":[{"code":"50689","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50689","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":401,"maximum":1772,"gross_charge":1937,"discounted_cash":1453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1772},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Ligasure Xtd Electrode","code_information":[{"code":"50326","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1771,"gross_charge":1936,"discounted_cash":1452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1771},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":852}]}]},{"description":"Ct Up Ext-r Wo Cont","code_information":[{"code":"39241-RT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73200","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Up Ext-l Wo Cont","code_information":[{"code":"39242-LT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73200","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Low Ext-r Wo Cont","code_information":[{"code":"39259-RT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73700","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Low Ext-l Wo Cont","code_information":[{"code":"39260-LT","type":"CDM"},{"code":"350","type":"RC"},{"code":"73700","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"CT scan","code_information":[{"code":"39300","type":"CDM"},{"code":"350","type":"RC"},{"code":"70450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Orbit/iac Wo Cont","code_information":[{"code":"39303","type":"CDM"},{"code":"350","type":"RC"},{"code":"70480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Max/facial Wo Cont","code_information":[{"code":"39306","type":"CDM"},{"code":"350","type":"RC"},{"code":"70486","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Soft Tissue Neck Wo Cont","code_information":[{"code":"39309","type":"CDM"},{"code":"350","type":"RC"},{"code":"70490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Chest Wo Cont","code_information":[{"code":"39312","type":"CDM"},{"code":"350","type":"RC"},{"code":"71250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Cervical Wo Cont","code_information":[{"code":"39315","type":"CDM"},{"code":"350","type":"RC"},{"code":"72125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Thoracic Wo Cont","code_information":[{"code":"39327","type":"CDM"},{"code":"350","type":"RC"},{"code":"72128","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Lumbar Wo Cont","code_information":[{"code":"39330","type":"CDM"},{"code":"350","type":"RC"},{"code":"72131","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Ct Abd Wo Cont","code_information":[{"code":"39435","type":"CDM"},{"code":"352","type":"RC"},{"code":"74150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Xtrafix Graphite Bar","code_information":[{"code":"52276","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52276","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Tranfusions, Bld/blood Comp2 Transfus","code_information":[{"code":"65991","type":"CDM"},{"code":"450","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Tranfusions, Bld/blood Comp2 Transfus","code_information":[{"code":"400303","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Inj Joint/bursa Bilat","code_information":[{"code":"850022-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"20610","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":400,"maximum":1768,"gross_charge":1932,"discounted_cash":1449,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1768},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Stapler Gia-60","code_information":[{"code":"49491","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1767,"gross_charge":1931,"discounted_cash":1448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1767},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":850}]}]},{"description":"Screw Chs Super Lag  70mm","code_information":[{"code":"48291","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48291","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1766,"gross_charge":1930,"discounted_cash":1448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1737},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":849}]}]},{"description":"Im Nail Screw Cort 3.7mm X 35mm","code_information":[{"code":"51898","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51898","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1763,"gross_charge":1927,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Im Nail Screw Cort 4.2mm X 30mm","code_information":[{"code":"51972","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1763,"gross_charge":1927,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Im Nail Screw Cort 3.7mm X 25mm","code_information":[{"code":"51973","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51973","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1763,"gross_charge":1927,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"Im Nail Screw Cort 3.7mm X 30mm","code_information":[{"code":"52136","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":399,"maximum":1763,"gross_charge":1927,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":848}]}]},{"description":"24498 Proph Tx Pin/plate/wire Humerus","code_information":[{"code":"CP17585603283862963","type":"CDM"},{"code":"510","type":"RC"},{"code":"24498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":398,"maximum":1762,"gross_charge":1926,"discounted_cash":1445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1529},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1762},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":847}]}]},{"description":"Ct Pelvis Wo Cont","code_information":[{"code":"39434","type":"CDM"},{"code":"352","type":"RC"},{"code":"72192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":398,"maximum":1761,"gross_charge":1925,"discounted_cash":1444,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":847}]}]},{"description":"Lap Trocar Disp Bladeless  8mm 100mm","code_information":[{"code":"52137","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":398,"maximum":1761,"gross_charge":1925,"discounted_cash":1444,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1761},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":847}]}]},{"description":"Screw Ncb Canc 34mm","code_information":[{"code":"51051","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":397,"maximum":1758,"gross_charge":1921,"discounted_cash":1441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":845}]}]},{"description":"Screw Ncb Canc 38mm","code_information":[{"code":"51052","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":397,"maximum":1758,"gross_charge":1921,"discounted_cash":1441,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":845}]}]},{"description":"24516 Tx Humeral Shaft Fx W Implant","code_information":[{"code":"CP17585603283865250","type":"CDM"},{"code":"510","type":"RC"},{"code":"24516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":396,"maximum":1750,"gross_charge":1913,"discounted_cash":1435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":842}]}]},{"description":"49402 Removal Peritoneal Fb","code_information":[{"code":"CP17585603283906917","type":"CDM"},{"code":"510","type":"RC"},{"code":"49402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":396,"maximum":1750,"gross_charge":1913,"discounted_cash":1435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1750},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":842}]}]},{"description":"Plate Ss Chs Supracondylar 90d 10hole","code_information":[{"code":"48264","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48264","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":395,"maximum":1749,"gross_charge":1911,"discounted_cash":1433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1749},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":841}]}]},{"description":"Plate Ti T Sml 3h Hd/4 Hole Shft Oblique","code_information":[{"code":"50708","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50708","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":395,"maximum":1747,"gross_charge":1909,"discounted_cash":1432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1605},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1747},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":840}]}]},{"description":"Screw Chs Super Lag  85mm","code_information":[{"code":"48294","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":394,"maximum":1745,"gross_charge":1907,"discounted_cash":1430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":839}]}]},{"description":"Mesh Gore Tex 4x6 (10x15) Tissue Patch","code_information":[{"code":"49788","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP49788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":394,"maximum":1742,"gross_charge":1904,"discounted_cash":1428,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1742},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1714},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1637},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":838}]}]},{"description":"Rr-privigen 10% Vial  5gm/50ml","code_information":[{"code":"304851","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1459","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1739,"gross_charge":1900,"discounted_cash":1425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1598},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1739},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":836}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insert Non Tunneled Cen Ven Cath >5 Yrs","code_information":[{"code":"17500","type":"CDM"},{"code":"761","type":"RC"},{"code":"36556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1738,"gross_charge":1899,"discounted_cash":1424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":836}]}]},{"description":"Insert Picc W/o Subq Port/pump >5 Yrs","code_information":[{"code":"17501","type":"CDM"},{"code":"761","type":"RC"},{"code":"36569","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1738,"gross_charge":1899,"discounted_cash":1424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":836}]}]},{"description":"Replace, Complete, Picc Wo Port/pump Sam","code_information":[{"code":"17505","type":"CDM"},{"code":"761","type":"RC"},{"code":"36584","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1738,"gross_charge":1899,"discounted_cash":1424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":836}]}]},{"description":"Repair Cent Vad, With Port/pump, Cntrl O","code_information":[{"code":"17507","type":"CDM"},{"code":"761","type":"RC"},{"code":"36576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":393,"maximum":1738,"gross_charge":1899,"discounted_cash":1424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1738},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1709},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":836}]}]},{"description":"23412 Rotator Cuff Repair, Chronic","code_information":[{"code":"CP17585603283860352","type":"CDM"},{"code":"510","type":"RC"},{"code":"23412","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1735,"gross_charge":1896,"discounted_cash":1422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1595},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1735},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":834}]}]},{"description":"Cath Hickman Dual Lumen  9fr       A4300","code_information":[{"code":"49747","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1733,"gross_charge":1894,"discounted_cash":1421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Provena Dual Lumen  4fr    Midline Cath","code_information":[{"code":"52411","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":392,"maximum":1733,"gross_charge":1894,"discounted_cash":1421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1733},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1099},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":833}]}]},{"description":"Ortho Cement Palacos-r & Gentamicin","code_information":[{"code":"48998","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1729,"gross_charge":1890,"discounted_cash":1418,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":832}]}]},{"description":"Ortho Femoral  Bone Cement Prep Kit","code_information":[{"code":"52507","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1729,"gross_charge":1890,"discounted_cash":1418,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1729},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1701},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":832}]}]},{"description":"Rr-filgrastim Inj. 300mcg/ml","code_information":[{"code":"302949","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1440","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1728,"gross_charge":1889,"discounted_cash":1417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":831}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27360 Partial Exc Bone Fem Prox Tib/fib","code_information":[{"code":"CP17585603283872232","type":"CDM"},{"code":"510","type":"RC"},{"code":"27360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":391,"maximum":1728,"gross_charge":1889,"discounted_cash":1417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1728},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1700},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":831}]}]},{"description":"49654 Lap Hernia Repr Incisional","code_information":[{"code":"CP17585603283907566","type":"CDM"},{"code":"510","type":"RC"},{"code":"49654","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1727,"gross_charge":1887,"discounted_cash":1415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":830}]}]},{"description":".Plt Leukoreduced Charge, Apherisis","code_information":[{"code":"22007","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9035","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1727,"gross_charge":1887,"discounted_cash":1415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":830}]}]},{"description":"Screw Ncb Locking Screw Cap","code_information":[{"code":"51050","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1727,"gross_charge":1887,"discounted_cash":1415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1727},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":830}]}]},{"description":"Replacement Of Face Skin With Autologous Tissue","code_information":[{"code":"CP17585603283946016","type":"CDM"},{"code":"510","type":"RC"},{"code":"15760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1726,"gross_charge":1886,"discounted_cash":1415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1586},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1726},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":830}]}]},{"description":"Lap Inst Disp Clip Applier     5mm","code_information":[{"code":"50214","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1725,"gross_charge":1885,"discounted_cash":1414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":829}]}]},{"description":"Dvr Lock Standard Plate  Left","code_information":[{"code":"52553","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52553","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1725,"gross_charge":1885,"discounted_cash":1414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":829}]}]},{"description":"Dvr Lock Narrow Plate Left","code_information":[{"code":"52751","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52751","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1725,"gross_charge":1885,"discounted_cash":1414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":829}]}]},{"description":"Dvr Lock Wide Plate Left","code_information":[{"code":"52754","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52754","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1725,"gross_charge":1885,"discounted_cash":1414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":829}]}]},{"description":"Plate Locking Dcp 3.5mm X 183mm  14 Hole","code_information":[{"code":"52698","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":390,"maximum":1724,"gross_charge":1884,"discounted_cash":1413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1724},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":829}]}]},{"description":"Rabies Immune Glob Vial  300units/2ml","code_information":[{"code":"302623","type":"CDM"},{"code":"250","type":"RC"},{"code":"76125015002","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":389,"maximum":1722,"gross_charge":1882,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":828}]}],"drug_information":{"unit":300,"type":"UN"}},{"description":"47100 Open Liver Biopsy","code_information":[{"code":"CP17585603283904225","type":"CDM"},{"code":"510","type":"RC"},{"code":"47100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1722,"gross_charge":1882,"discounted_cash":1412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1722},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1694},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":828}]}]},{"description":"Stapler Pursestring Device","code_information":[{"code":"49518","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49518","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1721,"gross_charge":1881,"discounted_cash":1411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1494},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1721},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":828}]}]},{"description":"Plate L-buttress Left 4 Hole","code_information":[{"code":"48705","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Plate L-buttress Right 4 Hole","code_information":[{"code":"48706","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48706","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Mesh 3dmax Large Left","code_information":[{"code":"50235","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50235","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Mesh 3dmax Large Right","code_information":[{"code":"50236","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Plate Ti 2.0mm Straight 12 Hole","code_information":[{"code":"50661","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50661","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Plate Ti 2.0mm T-plate 3 Hole/8 Hole","code_information":[{"code":"50663","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"Plate Ti 2.0mm Y-plate 3 Hole/8 Hole","code_information":[{"code":"50664","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50664","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":389,"maximum":1720,"gross_charge":1880,"discounted_cash":1410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1720},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":827}]}]},{"description":"15120 Split Graft, Fsemneoghf 100cm/less","code_information":[{"code":"CP17585603283839530","type":"CDM"},{"code":"510","type":"RC"},{"code":"15120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":388,"maximum":1718,"gross_charge":1878,"discounted_cash":1409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1615},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1718},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1690},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1615},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":826}]}]},{"description":"Hip Femoral Head 52mm Versys 12/14taper","code_information":[{"code":"51845","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":388,"maximum":1717,"gross_charge":1876,"discounted_cash":1407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":825}]}]},{"description":"Hip Femoral Head 54mm Versys 12/14taper","code_information":[{"code":"52029","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":388,"maximum":1717,"gross_charge":1876,"discounted_cash":1407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":825}]}]},{"description":"Hip Femoral Head 51mm Versys 12/14taper","code_information":[{"code":"52055","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":388,"maximum":1717,"gross_charge":1876,"discounted_cash":1407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1717},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":825}]}]},{"description":"29883 Knee Arthro, W/menis Rep Med+lat","code_information":[{"code":"CP17585603283890319","type":"CDM"},{"code":"510","type":"RC"},{"code":"29883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":388,"maximum":1716,"gross_charge":1875,"discounted_cash":1406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":825}]}]},{"description":"27822 Open-bim Ank Fract Wo/post Lip Fix","code_information":[{"code":"CP17585603283885854","type":"CDM"},{"code":"510","type":"RC"},{"code":"27822","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":387,"maximum":1712,"gross_charge":1871,"discounted_cash":1403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1712},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1684},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":823}]}]},{"description":"Erythromycin Oral Susp. 400mg/5ml-100ml","code_information":[{"code":"303064","type":"CDM"},{"code":"637","type":"RC"},{"code":"75834029401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":387,"maximum":1710,"gross_charge":1869,"discounted_cash":1402,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1710},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1682},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":822}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Hip Unipolar Head 54mm","code_information":[{"code":"48437","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":386,"maximum":1708,"gross_charge":1867,"discounted_cash":1400,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1708},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":821}]}]},{"description":"Endscp Grasping Device Talon","code_information":[{"code":"52051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1706,"gross_charge":1864,"discounted_cash":1398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"Endscp Grasping Device Raptor Rat Tooth","code_information":[{"code":"52120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1706,"gross_charge":1864,"discounted_cash":1398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1706},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1678},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"27640 Partial Excision Bone; Tibia","code_information":[{"code":"CP17585603283874394","type":"CDM"},{"code":"510","type":"RC"},{"code":"27640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1705,"gross_charge":1863,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":820}]}]},{"description":"Sleep study","code_information":[{"code":"37011","type":"CDM"},{"code":"740","type":"RC"},{"code":"95810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1704,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":819}]}]},{"description":"Multiple Sleep Latency","code_information":[{"code":"37013","type":"CDM"},{"code":"929","type":"RC"},{"code":"95805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":385,"maximum":1704,"gross_charge":1862,"discounted_cash":1397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1704},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1676},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1601},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":819}]}]},{"description":"24579 Open-condylar Humer Fx Med/lat","code_information":[{"code":"CP17585603283867916","type":"CDM"},{"code":"510","type":"RC"},{"code":"24579","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":384,"maximum":1698,"gross_charge":1856,"discounted_cash":1392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":817}]}]},{"description":"Ex.fix. Triax Clamp 3.0mm/4.0mm To 15mm","code_information":[{"code":"48159","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":384,"maximum":1698,"gross_charge":1856,"discounted_cash":1392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1698},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1670},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":817}]}]},{"description":"Rr-gamunex-c 10% Vial  5gm/50ml","code_information":[{"code":"305966","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1561","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1695,"gross_charge":1853,"discounted_cash":1390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1695},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":815}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Groshong 8.0 Fr Single Lumen  A4300","code_information":[{"code":"49565","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49565","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1693,"gross_charge":1850,"discounted_cash":1388,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"27826 Open-fx Wt Brng W/fix, Fib Only","code_information":[{"code":"CP17585603283888251","type":"CDM"},{"code":"510","type":"RC"},{"code":"27826","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1693,"gross_charge":1850,"discounted_cash":1388,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"Cath Midline 4fr X 8cm Power Wand","code_information":[{"code":"52261","type":"CDM"},{"code":"270","type":"RC"},{"code":"C1751","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":383,"maximum":1693,"gross_charge":1850,"discounted_cash":1388,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1693},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1665},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"26123 Fascicetomy Pulmar W/1 Digit","code_information":[{"code":"CP17585603283864478","type":"CDM"},{"code":"510","type":"RC"},{"code":"26123","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1692,"gross_charge":1849,"discounted_cash":1387,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1664},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":814}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 115mm","code_information":[{"code":"48280","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48280","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1691,"gross_charge":1848,"discounted_cash":1386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1691},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":813}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 120mm","code_information":[{"code":"48281","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48281","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1691,"gross_charge":1848,"discounted_cash":1386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1691},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":813}]}]},{"description":"27090 Removal Of Hip Prosthesis","code_information":[{"code":"CP17585603283879920","type":"CDM"},{"code":"510","type":"RC"},{"code":"27090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1689,"gross_charge":1846,"discounted_cash":1385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1689},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":812}]}]},{"description":"Ligasure Max Electrode","code_information":[{"code":"50325","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":382,"maximum":1688,"gross_charge":1845,"discounted_cash":1384,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1661},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":812}]}]},{"description":"Hip Femoral Head Adptr +7.0mm 12/14taper","code_information":[{"code":"52059","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":381,"maximum":1686,"gross_charge":1843,"discounted_cash":1382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1686},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1659},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":811}]}]},{"description":"Plate Ti Dcp Broad  6 Hole","code_information":[{"code":"50924","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1681,"gross_charge":1837,"discounted_cash":1378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}]},{"description":"Plate Ti Dcp Broad  7 Hole","code_information":[{"code":"50925","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50925","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1681,"gross_charge":1837,"discounted_cash":1378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}]},{"description":"Rr-darbepoetin Inj.   40mcg/0.4ml","code_information":[{"code":"304151","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1681,"gross_charge":1837,"discounted_cash":1378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1681},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tetanus Immune Glob Vial 250units","code_information":[{"code":"300782","type":"CDM"},{"code":"636","type":"RC"},{"code":"13533063402","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":380,"maximum":1680,"gross_charge":1836,"discounted_cash":1377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}],"drug_information":{"unit":250,"type":"UN"}},{"description":"Mesh 3dmax Medium Left","code_information":[{"code":"50281","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50281","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1680,"gross_charge":1836,"discounted_cash":1377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}]},{"description":"Mesh 3dmax Medium Right","code_information":[{"code":"50282","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50282","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":380,"maximum":1680,"gross_charge":1836,"discounted_cash":1377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1680},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":808}]}]},{"description":"Mesh Perfix Plug Large","code_information":[{"code":"50117","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":379,"maximum":1677,"gross_charge":1833,"discounted_cash":1375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":807}]}]},{"description":"Mesh Perfix Plug Medium","code_information":[{"code":"50118","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":379,"maximum":1677,"gross_charge":1833,"discounted_cash":1375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":807}]}]},{"description":"Mesh Perfix Plug Small","code_information":[{"code":"50216","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":379,"maximum":1677,"gross_charge":1833,"discounted_cash":1375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":807}]}]},{"description":"Ccpphuman Papilloma Vaccine 0.5ml","code_information":[{"code":"307312","type":"CDM"},{"code":"636","type":"RC"},{"code":"90715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":379,"maximum":1677,"gross_charge":1833,"discounted_cash":1375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1677},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1650},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":807}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bone Screw 6.5mm 30mm","code_information":[{"code":"50410","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1674,"gross_charge":1830,"discounted_cash":1373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1539},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1674},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1647},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":805}]}]},{"description":"25608 Open Tx Dist Rad Fx Int Fix 2 Frag","code_information":[{"code":"CP17585603283868484","type":"CDM"},{"code":"510","type":"RC"},{"code":"25608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1673,"gross_charge":1828,"discounted_cash":1371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1673},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1572},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":804}]}]},{"description":"23410 Repair Of Rotor Cuff","code_information":[{"code":"CP17585603283851344","type":"CDM"},{"code":"510","type":"RC"},{"code":"23410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1672,"gross_charge":1827,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1672},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1571},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":804}]}]},{"description":"Lap Inst Disp Fan Retractor 12mm","code_information":[{"code":"50375","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Distal Rad/uln Fx W/ Manip","code_information":[{"code":"65337","type":"CDM"},{"code":"450","type":"RC"},{"code":"25605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Reduction Clavicle","code_information":[{"code":"65444","type":"CDM"},{"code":"450","type":"RC"},{"code":"23505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Fx Ankle Bimall W/manip","code_information":[{"code":"65537","type":"CDM"},{"code":"450","type":"RC"},{"code":"27810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Of Rad/uln Fx W/ Manip","code_information":[{"code":"65557","type":"CDM"},{"code":"450","type":"RC"},{"code":"25565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Ankle Fx W Manip","code_information":[{"code":"65561","type":"CDM"},{"code":"450","type":"RC"},{"code":"27818","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Of Shoulder Dis W/ Hum Fx W/m","code_information":[{"code":"65562","type":"CDM"},{"code":"450","type":"RC"},{"code":"23665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Carpal Scaphoid (Navic) Fx W/m","code_information":[{"code":"65915","type":"CDM"},{"code":"450","type":"RC"},{"code":"25624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Clsd Trmt Tibia Shaft Fx, W/manip","code_information":[{"code":"65946","type":"CDM"},{"code":"450","type":"RC"},{"code":"27752","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Tx Of Shoulder Dis W Manip & Anes","code_information":[{"code":"69533","type":"CDM"},{"code":"450","type":"RC"},{"code":"23655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Closed Trmt Hip Disloc, Traumatic; W Ane","code_information":[{"code":"69537","type":"CDM"},{"code":"450","type":"RC"},{"code":"27252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":378,"maximum":1671,"gross_charge":1826,"discounted_cash":1370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":803}]}]},{"description":"Tray P.e.g. Gauderer-ponksy 20fr *Latex*","code_information":[{"code":"49726","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49726","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Ti Tibial Nail 4.9mm Locking Bolt 40mm","code_information":[{"code":"50791","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50791","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Ti Tibial Nail 4.9mm Locking Bolt 50mm","code_information":[{"code":"50792","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Ti Tibial Nail 4.9mm Locking Bolt 56mm","code_information":[{"code":"50793","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Bone Marrow Aspiration","code_information":[{"code":"65471","type":"CDM"},{"code":"450","type":"RC"},{"code":"38220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"I & D Hematoma","code_information":[{"code":"65538","type":"CDM"},{"code":"450","type":"RC"},{"code":"10140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Drainage Of Scrotal Wall Abcess","code_information":[{"code":"65541","type":"CDM"},{"code":"450","type":"RC"},{"code":"55100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Exc, Ben Lesion Inc Margins, Exct Skin","code_information":[{"code":"69522","type":"CDM"},{"code":"450","type":"RC"},{"code":"11406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Excision, Benign Lesion Inc Margins 1.1-","code_information":[{"code":"69536","type":"CDM"},{"code":"450","type":"RC"},{"code":"11422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1668,"gross_charge":1823,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1668},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Plate Periart.lock.dis.mdl.humrl.14h","code_information":[{"code":"51120","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1667,"gross_charge":1822,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Locking Screw Standard Depth G 3.5/2.7mm","code_information":[{"code":"52631","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52631","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1667,"gross_charge":1822,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"28750 Arthrodesis, G-toe, Metatars Joint","code_information":[{"code":"CP17585603283888339","type":"CDM"},{"code":"510","type":"RC"},{"code":"28750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1667,"gross_charge":1822,"discounted_cash":1367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1667},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":802}]}]},{"description":"Plate Ss Chs Std.barrel 130deg 12 Hole","code_information":[{"code":"48235","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48235","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":377,"maximum":1666,"gross_charge":1821,"discounted_cash":1366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1446},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1666},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1639},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":801}]}]},{"description":"Repair Abdominal Wall","code_information":[{"code":"CP17585603283942182","type":"CDM"},{"code":"510","type":"RC"},{"code":"49900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":376,"maximum":1663,"gross_charge":1818,"discounted_cash":1364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1529},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1636},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1563},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":800}]}]},{"description":"Tube Gastrostomy Button 18fr 1.7cm","code_information":[{"code":"50358","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1658,"gross_charge":1812,"discounted_cash":1359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Tube Gastrostomy Button 24fr 1.7cm","code_information":[{"code":"50359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1658,"gross_charge":1812,"discounted_cash":1359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Screw Ncb Cort 34mm","code_information":[{"code":"51053","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1658,"gross_charge":1812,"discounted_cash":1359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Screw Ncb Cort 40mm","code_information":[{"code":"51054","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1658,"gross_charge":1812,"discounted_cash":1359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1658},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1631},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Plate Ss Chs Supracondylar 90d  6 Hole","code_information":[{"code":"48260","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1657,"gross_charge":1811,"discounted_cash":1358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Plate Ss Chs Supracondylar 95d  6 Hole","code_information":[{"code":"48261","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1657,"gross_charge":1811,"discounted_cash":1358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"Plate Ss Chs Supracondylar 90d  8 Hole","code_information":[{"code":"48262","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":375,"maximum":1657,"gross_charge":1811,"discounted_cash":1358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1657},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":797}]}]},{"description":"27848 Open Tx Fib Fx/shaft W Int Fix","code_information":[{"code":"CP17585603283886864","type":"CDM"},{"code":"510","type":"RC"},{"code":"27848","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1656,"gross_charge":1810,"discounted_cash":1358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1656},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Plate Ti T Sml 3h Hd/3 Hole Shft Oblique","code_information":[{"code":"50707","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50707","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1655,"gross_charge":1809,"discounted_cash":1357,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1655},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1628},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Cath Triple Lumen 7fr 20cm W/cdc Prep","code_information":[{"code":"52122","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"5fr Triple Lumen Catheter Full Tray","code_information":[{"code":"52322","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Picc  Kit 5.5fr Dual Lumen","code_information":[{"code":"52420","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52420","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Midline Kit 5fr","code_information":[{"code":"52427","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Powermidline 5 Fr X 20cm","code_information":[{"code":"52442","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"Powerpicc Catheter 5fr Triple-lumen","code_information":[{"code":"53228","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":374,"maximum":1654,"gross_charge":1808,"discounted_cash":1356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":796}]}]},{"description":"27590 Amputation Thigh Thru Femur","code_information":[{"code":"CP17585603283879580","type":"CDM"},{"code":"510","type":"RC"},{"code":"27590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":373,"maximum":1652,"gross_charge":1806,"discounted_cash":1355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1652},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1625},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":795}]}]},{"description":"Uro Stone Retriever 4fr 08mm 6wire 110cm","code_information":[{"code":"49780","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":373,"maximum":1651,"gross_charge":1804,"discounted_cash":1353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":794}]}]},{"description":"Uro Stone Retriever 4fr 11mm 6wire 110cm","code_information":[{"code":"49809","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":373,"maximum":1651,"gross_charge":1804,"discounted_cash":1353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":794}]}]},{"description":"Uro Stone Retriever 4fr 15mm 6wire 110cm","code_information":[{"code":"49810","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":373,"maximum":1651,"gross_charge":1804,"discounted_cash":1353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":794}]}]},{"description":"29862 Hip Arthro, Surg W/chond Resection","code_information":[{"code":"CP17585603283895190","type":"CDM"},{"code":"510","type":"RC"},{"code":"29862","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":373,"maximum":1649,"gross_charge":1802,"discounted_cash":1352,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":793}]}]},{"description":"Plate  Locking 2.5mm Straight","code_information":[{"code":"52819","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52819","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":372,"maximum":1648,"gross_charge":1801,"discounted_cash":1351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1515},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1648},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":792}]}]},{"description":"Mesh Prolene  6x6 Tissue Patch","code_information":[{"code":"50176","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":372,"maximum":1646,"gross_charge":1799,"discounted_cash":1349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1646},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":792}]}]},{"description":"13160 Secondary Closure Surgical Wound","code_information":[{"code":"CP17585603283832419","type":"CDM"},{"code":"510","type":"RC"},{"code":"13160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":372,"maximum":1645,"gross_charge":1798,"discounted_cash":1349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1645},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1546},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":791}]}]},{"description":"Harmonic Scalpel Curved 5mm X 32cm","code_information":[{"code":"50341","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1642,"gross_charge":1795,"discounted_cash":1346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1642},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":790}]}]},{"description":"Endscp Overtube Standard Endoscope","code_information":[{"code":"50335","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1641,"gross_charge":1793,"discounted_cash":1345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Vcare Dx Manipulator","code_information":[{"code":"52167","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52167","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1641,"gross_charge":1793,"discounted_cash":1345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Tray P.e.g. Ponsky Pull 20frsilicone","code_information":[{"code":"49731","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1641,"gross_charge":1793,"discounted_cash":1345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Tube Gastro Jejun Feeding (B4086)","code_information":[{"code":"50222","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1641,"gross_charge":1793,"discounted_cash":1345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1641},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":789}]}]},{"description":"Cath Peritoneal Swan Neck 112.8cm","code_information":[{"code":"52215","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":371,"maximum":1640,"gross_charge":1792,"discounted_cash":1344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1507},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1640},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1613},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":788}]}]},{"description":"25400 Non-union Radius/ulna, W/o Graft","code_information":[{"code":"CP17585603283865450","type":"CDM"},{"code":"510","type":"RC"},{"code":"25400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1634,"gross_charge":1786,"discounted_cash":1340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1502},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1634},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":786}]}]},{"description":"Hip Unipolar Head 46mm","code_information":[{"code":"48433","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48433","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1633,"gross_charge":1785,"discounted_cash":1339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":785}]}]},{"description":"Hip Unipolar Head 41mm","code_information":[{"code":"48443","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1633,"gross_charge":1785,"discounted_cash":1339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":785}]}]},{"description":"Opt Surg Pack I/a","code_information":[{"code":"49428","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1633,"gross_charge":1785,"discounted_cash":1339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1633},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":785}]}]},{"description":"27503 Cl Tx Femoral Fx W Man W/wo Tract","code_information":[{"code":"CP17585603283874964","type":"CDM"},{"code":"510","type":"RC"},{"code":"27503","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":369,"maximum":1632,"gross_charge":1784,"discounted_cash":1338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1632},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1606},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":785}]}]},{"description":"Plate Uls Recon 3.5mm X  53mm 4h","code_information":[{"code":"52674","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":368,"maximum":1630,"gross_charge":1781,"discounted_cash":1336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":784}]}]},{"description":"Plate Uls Recon 3.5mm X  66mm 5h","code_information":[{"code":"52676","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52676","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":368,"maximum":1630,"gross_charge":1781,"discounted_cash":1336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1630},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":784}]}]},{"description":"Staple Reload Endo L.cutter 35mm Vasculr","code_information":[{"code":"49493","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":368,"maximum":1629,"gross_charge":1780,"discounted_cash":1335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1629},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1032},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":783}]}]},{"description":"Plate T-plate 4 Hole","code_information":[{"code":"48709","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":367,"maximum":1624,"gross_charge":1775,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1598},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1527},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"Ligasure Lap Sealer/divider 10mm X 20cm","code_information":[{"code":"50323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":367,"maximum":1623,"gross_charge":1774,"discounted_cash":1331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1623},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1597},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":781}]}]},{"description":"49255 Removal Of Omentum","code_information":[{"code":"CP17585603283908134","type":"CDM"},{"code":"510","type":"RC"},{"code":"49255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":366,"maximum":1619,"gross_charge":1769,"discounted_cash":1327,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1619},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1521},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":778}]}]},{"description":"Plate Ti 3.5mm Lc-dcp 9 Hole","code_information":[{"code":"50703","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1617,"gross_charge":1767,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Intraosseous Needle 15g 25mm (40kg&up)","code_information":[{"code":"52112","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1617,"gross_charge":1767,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1617},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Plate Ti Dcp Narrow 10 Hole","code_information":[{"code":"50921","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1616,"gross_charge":1766,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Plate Ti Dcp Narrow 11 Hole","code_information":[{"code":"50922","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1616,"gross_charge":1766,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Plate Ti Dcp Narrow 12 Hole","code_information":[{"code":"50923","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1616,"gross_charge":1766,"discounted_cash":1325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1616},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1589},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":777}]}]},{"description":"Or/other 31-45 Min","code_information":[{"code":"17302","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":365,"maximum":1614,"gross_charge":1764,"discounted_cash":1323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1614},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":776}]}]},{"description":"Total Knee Patella Dome 32mm","code_information":[{"code":"48077","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":364,"maximum":1609,"gross_charge":1759,"discounted_cash":1319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":774}]}]},{"description":"Surgical Treatment, Ectopic Pregnancy; T","code_information":[{"code":"CP17585603283950672","type":"CDM"},{"code":"510","type":"RC"},{"code":"59120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":364,"maximum":1609,"gross_charge":1759,"discounted_cash":1319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1609},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":774}]}]},{"description":"Screw Ncb Canc 85mm","code_information":[{"code":"51978","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51978","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Screw Ncb Canc 80mm","code_information":[{"code":"51979","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Screw Ncb Canc 75mm","code_information":[{"code":"51980","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Screw Ncb Canc 70mm","code_information":[{"code":"51981","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51981","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Screw Ncb Canc 65mm","code_information":[{"code":"51982","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51982","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Screw Ncb Canc 60mm","code_information":[{"code":"51983","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1607,"gross_charge":1756,"discounted_cash":1317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":773}]}]},{"description":"Debride;skin/subq Tiss/muscle/fascia Necro Tiss","code_information":[{"code":"CP17585603283910159","type":"CDM"},{"code":"510","type":"RC"},{"code":"11005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1604,"gross_charge":1753,"discounted_cash":1315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":771}]}]},{"description":"Stapler Linear 30mm","code_information":[{"code":"50217","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":363,"maximum":1604,"gross_charge":1753,"discounted_cash":1315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1604},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":771}]}]},{"description":".Unlisted Molecular Pathology","code_information":[{"code":"757273","type":"CDM"},{"code":"310","type":"RC"},{"code":"81479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":362,"maximum":1602,"gross_charge":1751,"discounted_cash":1313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":770}]}]},{"description":".Unlisted Molecular Pathology Procedure","code_information":[{"code":"757338","type":"CDM"},{"code":"310","type":"RC"},{"code":"81479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":362,"maximum":1602,"gross_charge":1751,"discounted_cash":1313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1602},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":770}]}]},{"description":"Circuit Passive 22mm","code_information":[{"code":"53076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":362,"maximum":1600,"gross_charge":1749,"discounted_cash":1312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1600},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":770}]}]},{"description":"Plate Cloverleaf 4 Hole","code_information":[{"code":"48656","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48656","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":1599,"gross_charge":1748,"discounted_cash":1311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":769}]}]},{"description":"Rr-darbepoetin Inj.  100mcg/0.5ml","code_information":[{"code":"304026","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":1599,"gross_charge":1748,"discounted_cash":1311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1599},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1573},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":769}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dilator Balloon Inflator/manometer","code_information":[{"code":"50315","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":361,"maximum":1596,"gross_charge":1744,"discounted_cash":1308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1596},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":767}]}]},{"description":"25525 Open Tx Rad Shaft Fx/cl Tx Disloc","code_information":[{"code":"CP17585603283867288","type":"CDM"},{"code":"510","type":"RC"},{"code":"25525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1594,"gross_charge":1742,"discounted_cash":1307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Stapler Ta55-4.8","code_information":[{"code":"49721","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49721","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1594,"gross_charge":1742,"discounted_cash":1307,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1594},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1568},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Reposition Of Tibia, Percutaneous Endoscopic Approach","code_information":[{"code":"CP17585603283942007","type":"CDM"},{"code":"510","type":"RC"},{"code":"29855","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1593,"gross_charge":1741,"discounted_cash":1306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1593},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Cath Hickman Dual Lumen 12fr       A4300","code_information":[{"code":"49778","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 130deg  2 Hole","code_information":[{"code":"48200","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg  2 Hole","code_information":[{"code":"48201","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg  2 Hole","code_information":[{"code":"48204","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 130deg  4 Hole","code_information":[{"code":"48210","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg  4 Hole","code_information":[{"code":"48211","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg  4 Hole","code_information":[{"code":"48214","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 130deg  5 Hole","code_information":[{"code":"48215","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg  5 Hole","code_information":[{"code":"48219","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 130deg  6 Hole","code_information":[{"code":"48220","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg  6 Hole","code_information":[{"code":"48221","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg  6 Hole","code_information":[{"code":"48224","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 130deg  2 Hole Kyl","code_information":[{"code":"51200","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 130deg  4 Hole Kyl","code_information":[{"code":"51201","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 130deg  5 Hole Kyl","code_information":[{"code":"51202","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 135deg  2 Hole Kyl","code_information":[{"code":"51203","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 135deg  4 Hole Kyl","code_information":[{"code":"51204","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 135deg  5 Hole Kyl","code_information":[{"code":"51205","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 135deg  6 Hole Kyl","code_information":[{"code":"51206","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 150deg  2 Hole Kyl","code_information":[{"code":"51207","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 150deg  4 Hole Kyl","code_information":[{"code":"51208","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 150deg  5 Hole Kyl","code_information":[{"code":"51209","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 150deg  6 Hole Kyl","code_information":[{"code":"51210","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Std.brrl 130deg  6 Hole Kyl","code_information":[{"code":"51242","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51242","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Guide Wire Cal 3.2 X 230mm","code_information":[{"code":"52317","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Plate Ss Dhs Short.brrl 135deg  4 Hole","code_information":[{"code":"52413","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Hip Centralizer 15mm Diameter","code_information":[{"code":"48399","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48399","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Hip Centralizer 12mm Diameter","code_information":[{"code":"48427","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Hip Centralizer 10mm Diameter","code_information":[{"code":"48495","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Hip Centralizer 13mm Diameter","code_information":[{"code":"48497","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48497","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Arthro Meniscus Mender Set","code_information":[{"code":"48934","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Cath Swan Ganz V-pacing Probe      A4300","code_information":[{"code":"49759","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49759","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Opt Flexible Iris Retractor","code_information":[{"code":"50131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1592,"gross_charge":1740,"discounted_cash":1305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":766}]}]},{"description":"Saw Blade Oscill. 19mm X 90mm X 1.27mm","code_information":[{"code":"48597","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48597","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":360,"maximum":1591,"gross_charge":1739,"discounted_cash":1304,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1591},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1565},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":765}]}]},{"description":"Reg Lap Thunderbeat","code_information":[{"code":"52453","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":359,"maximum":1588,"gross_charge":1735,"discounted_cash":1301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":763}]}]},{"description":"10 Cm Inline (Thunderbeat)","code_information":[{"code":"52454","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":359,"maximum":1588,"gross_charge":1735,"discounted_cash":1301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":763}]}]},{"description":"Uro Stone Retriever 3fr 08mm 3wire 110cm","code_information":[{"code":"49779","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1584,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"Uro Stone Retriever 3fr 11mm 3wire 110cm","code_information":[{"code":"49807","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49807","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1584,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"Uro Stone Retriever 3fr 15mm 3wire 110cm","code_information":[{"code":"49808","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1584,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"E-surg Roller Ball Electrode 24fr Gyn.","code_information":[{"code":"49955","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1584,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"E-surg Roller Bar Electrode 24fr Gyn.","code_information":[{"code":"49956","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49956","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1584,"gross_charge":1731,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":762}]}]},{"description":"Compr Rv Shldr Gd And Bn R","code_information":[{"code":"53158","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1583,"gross_charge":1730,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Comp Aug Rotate Guide&bone Lt","code_information":[{"code":"53182","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53182","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1583,"gross_charge":1730,"discounted_cash":1298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1583},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 10mm","code_information":[{"code":"51300","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 11mm","code_information":[{"code":"51301","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 12mm","code_information":[{"code":"51302","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 13mm","code_information":[{"code":"51303","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 14mm","code_information":[{"code":"51304","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 15mm","code_information":[{"code":"51305","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 16mm","code_information":[{"code":"51306","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 18mm","code_information":[{"code":"51307","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 20mm","code_information":[{"code":"51308","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51308","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 22mm","code_information":[{"code":"51309","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51309","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 24mm","code_information":[{"code":"51310","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 26mm","code_information":[{"code":"51311","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51311","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 30mm","code_information":[{"code":"51312","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Screw Locking 2.4mm X 28mm","code_information":[{"code":"51333","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":358,"maximum":1582,"gross_charge":1729,"discounted_cash":1297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":761}]}]},{"description":"Rr-zoledronic Acid 5mg/100ml","code_information":[{"code":"304267","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3489","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":357,"maximum":1580,"gross_charge":1727,"discounted_cash":1295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1580},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":760}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ligasure Lap Sealer/divider 10mm X 37cm","code_information":[{"code":"50322","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":357,"maximum":1579,"gross_charge":1726,"discounted_cash":1295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1579},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Reinsertion, Ruptured Bicep/tricep W/wo Graft","code_information":[{"code":"CP17585603283941151","type":"CDM"},{"code":"510","type":"RC"},{"code":"24342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":357,"maximum":1578,"gross_charge":1725,"discounted_cash":1294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1578},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1553},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":759}]}]},{"description":"Plate Ti 2.0mm T-plate 2 Hole/8 Hole","code_information":[{"code":"50662","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50662","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1577,"gross_charge":1723,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Plate Ti 2.0mm Lc-dcp 4 Hole","code_information":[{"code":"50665","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50665","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1577,"gross_charge":1723,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Plate Ti 2.4mm Straight  6 Hole","code_information":[{"code":"50687","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1577,"gross_charge":1723,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Hmrl Bearing 36mm +3 Ret Prlng","code_information":[{"code":"53163","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1576,"gross_charge":1722,"discounted_cash":1292,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":758}]}]},{"description":"Screw Ncb 24mm","code_information":[{"code":"51047","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1575,"gross_charge":1721,"discounted_cash":1291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Screw Ncb 26mm","code_information":[{"code":"51048","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1575,"gross_charge":1721,"discounted_cash":1291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Screw Ncb 28mm","code_information":[{"code":"51049","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1575,"gross_charge":1721,"discounted_cash":1291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1575},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Screw Periart.locking 2.4mm X 18mm","code_information":[{"code":"50523","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1574,"gross_charge":1720,"discounted_cash":1290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Screw Periart.locking 2.4mm X 16mm","code_information":[{"code":"50554","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50554","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1574,"gross_charge":1720,"discounted_cash":1290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Endscp Retrvl Device Mini Roth Net","code_information":[{"code":"52183","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52183","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1574,"gross_charge":1720,"discounted_cash":1290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"Screw Periart.locking 2.4mm X 20mm","code_information":[{"code":"52410","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1574,"gross_charge":1720,"discounted_cash":1290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"36558 Insrt Tunnld Cntrlly Cvc No Subqp","code_information":[{"code":"CP17585603283890840","type":"CDM"},{"code":"510","type":"RC"},{"code":"36558","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":356,"maximum":1574,"gross_charge":1720,"discounted_cash":1290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":757}]}]},{"description":"14060 Tissue Rearr E,n,e,l >10cm","code_information":[{"code":"CP17585603283838023","type":"CDM"},{"code":"510","type":"RC"},{"code":"14060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":1570,"gross_charge":1716,"discounted_cash":1287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1570},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":755}]}]},{"description":"Hip Femoral Head 22mm Medium Neck","code_information":[{"code":"48420","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48420","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":1569,"gross_charge":1715,"discounted_cash":1286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":755}]}]},{"description":"Hip Femoral Head 22mm Long Neck","code_information":[{"code":"48421","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48421","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":1569,"gross_charge":1715,"discounted_cash":1286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":755}]}]},{"description":"49565 Rpr Recurrent Inc/ventral Hernia","code_information":[{"code":"CP17585603283902764","type":"CDM"},{"code":"510","type":"RC"},{"code":"49565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":1569,"gross_charge":1715,"discounted_cash":1286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":755}]}]},{"description":".Phenotype Analysis By Nucleic Acid","code_information":[{"code":"751802","type":"CDM"},{"code":"300","type":"RC"},{"code":"87903","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":355,"maximum":1569,"gross_charge":1715,"discounted_cash":1286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":755}]}]},{"description":"Plate Ti Dcp Narrow  6 Hole","code_information":[{"code":"50917","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":1567,"gross_charge":1713,"discounted_cash":1285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Plate Ti Dcp Narrow  7 Hole","code_information":[{"code":"50918","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50918","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":1567,"gross_charge":1713,"discounted_cash":1285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Plate Ti Dcp Narrow  8 Hole","code_information":[{"code":"50919","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50919","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":1567,"gross_charge":1713,"discounted_cash":1285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"Plate Ti Dcp Narrow  9 Hole","code_information":[{"code":"50920","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":1567,"gross_charge":1713,"discounted_cash":1285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":754}]}]},{"description":"32550 Insert Tunn Pleural Cather W/cuff","code_information":[{"code":"CP17585603283891700","type":"CDM"},{"code":"510","type":"RC"},{"code":"32550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":354,"maximum":1566,"gross_charge":1711,"discounted_cash":1283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1566},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1540},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":753}]}]},{"description":"Sta Graft  Putty 2cc Puros","code_information":[{"code":"51998","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":1564,"gross_charge":1709,"discounted_cash":1282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1564},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1538},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":752}]}]},{"description":"44800 Exc Meckels Diverticulum Bowel Pou","code_information":[{"code":"CP17585603283901390","type":"CDM"},{"code":"510","type":"RC"},{"code":"44800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":1562,"gross_charge":1707,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1562},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1536},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":751}]}]},{"description":"Screw Periart.locking 2.4mm X 22mm","code_information":[{"code":"50518","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50518","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":1561,"gross_charge":1706,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":751}]}]},{"description":"Screw Periart.locking 2.4mm X 20mm","code_information":[{"code":"50524","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":1561,"gross_charge":1706,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":751}]}]},{"description":"Screw Periart.locking 2.4mm X 24mm","code_information":[{"code":"50526","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50526","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":353,"maximum":1561,"gross_charge":1706,"discounted_cash":1280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1561},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":751}]}]},{"description":"25440 Rpr/graft Wrist Scaphoid Nonunion","code_information":[{"code":"CP17585603283866047","type":"CDM"},{"code":"510","type":"RC"},{"code":"25440","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1558,"gross_charge":1703,"discounted_cash":1277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1558},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1533},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Luer Adptr 2 Part Peritoneal Dialysis","code_information":[{"code":"52218","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1557,"gross_charge":1702,"discounted_cash":1277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1532},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":749}]}]},{"description":"Dress Surgicel 4x8 Absorb Hemostat","code_information":[{"code":"52195","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1556,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":748}]}]},{"description":"Dress Surgicel 4x4 Snow","code_information":[{"code":"52312","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1556,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":748}]}]},{"description":"Dress Surgicel 4x4 Fibrillar","code_information":[{"code":"52313","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52313","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1556,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":748}]}]},{"description":"Kit Hemostasis Gelfoam Plus","code_information":[{"code":"52334","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52334","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":352,"maximum":1556,"gross_charge":1701,"discounted_cash":1276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":748}]}]},{"description":"Plate Ss Chs Std.barrel 130deg 10 Hole","code_information":[{"code":"48230","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg 10 Hole","code_information":[{"code":"48233","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  65mm","code_information":[{"code":"48507","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48507","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 105mm","code_information":[{"code":"48515","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  65mm","code_information":[{"code":"48526","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48526","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  70mm","code_information":[{"code":"48527","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48527","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  85mm","code_information":[{"code":"48530","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48530","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Plate Uls Recon 3.5mm X  40mm 3h","code_information":[{"code":"52673","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1554,"gross_charge":1698,"discounted_cash":1274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1528},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":747}]}]},{"description":"Mask Bi-pap Go-pap Large","code_information":[{"code":"53037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":351,"maximum":1551,"gross_charge":1695,"discounted_cash":1271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":746}]}]},{"description":"27705 Osteotomy Tibia","code_information":[{"code":"CP17585603283881077","type":"CDM"},{"code":"510","type":"RC"},{"code":"27705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1550,"gross_charge":1694,"discounted_cash":1271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Replacement Of Rt Lower Leg Skin With Autologous Tissue Subsitute","code_information":[{"code":"CP17585603283945560","type":"CDM"},{"code":"510","type":"RC"},{"code":"15220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1550,"gross_charge":1694,"discounted_cash":1271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Mask Bi-pap Go-pap Medium","code_information":[{"code":"53036","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1550,"gross_charge":1694,"discounted_cash":1271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1550},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Knee Balancing System Elibra Small","code_information":[{"code":"52117","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1549,"gross_charge":1693,"discounted_cash":1270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Knee Balancing System Elibra Large","code_information":[{"code":"52118","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1549,"gross_charge":1693,"discounted_cash":1270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Hip Femoral Head 32mm -3.5mm Neck Length","code_information":[{"code":"50411","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1549,"gross_charge":1693,"discounted_cash":1270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1549},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1524},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":745}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz 64","code_information":[{"code":"48043","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1547,"gross_charge":1691,"discounted_cash":1268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":744}]}]},{"description":"Hip Femoral Head 28mm Short Neck","code_information":[{"code":"48422","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1547,"gross_charge":1691,"discounted_cash":1268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":744}]}]},{"description":"Hip Femoral Head 28mm Medium Neck","code_information":[{"code":"48423","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":350,"maximum":1547,"gross_charge":1691,"discounted_cash":1268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1547},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":744}]}]},{"description":"27252 Closed-hip Discolation W/anes","code_information":[{"code":"CP17585603283878393","type":"CDM"},{"code":"510","type":"RC"},{"code":"27252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":349,"maximum":1545,"gross_charge":1689,"discounted_cash":1267,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1545},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1453},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":743}]}]},{"description":"14040 Tissue Rearr F,c,c,m,a,g,h,f >10cm","code_information":[{"code":"CP17585603283834129","type":"CDM"},{"code":"510","type":"RC"},{"code":"14040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1537,"gross_charge":1680,"discounted_cash":1260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":739}]}]},{"description":"27232 Repair Thigh Fracture","code_information":[{"code":"CP17585603283877039","type":"CDM"},{"code":"510","type":"RC"},{"code":"27232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1537,"gross_charge":1680,"discounted_cash":1260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":739}]}]},{"description":"Plate Cloverleaf 3 Hole","code_information":[{"code":"48655","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48655","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1537,"gross_charge":1680,"discounted_cash":1260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":739}]}]},{"description":"Plate Spoon 6 Hole","code_information":[{"code":"48708","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48708","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1537,"gross_charge":1680,"discounted_cash":1260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1537},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":739}]}]},{"description":"Plate Locking Dcp 3.5mm X 157mm  12 Hole","code_information":[{"code":"52697","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52697","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1534,"gross_charge":1677,"discounted_cash":1258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"3.5mm Uls T-plt 4h Head 6h Shaft, 85mm","code_information":[{"code":"52702","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1534,"gross_charge":1677,"discounted_cash":1258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1509},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":738}]}]},{"description":"Plate Ti 3.5mm Lc-dcp 8 Hole","code_information":[{"code":"50702","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":347,"maximum":1534,"gross_charge":1676,"discounted_cash":1257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":737}]}]},{"description":"Mesh Ventralight St Large 8x8","code_information":[{"code":"52920","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":346,"maximum":1531,"gross_charge":1673,"discounted_cash":1255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":736}]}]},{"description":"27524 Open Tx Patellar Fx W Fix +/Or Rpr","code_information":[{"code":"CP17585603283874303","type":"CDM"},{"code":"510","type":"RC"},{"code":"27524","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":346,"maximum":1530,"gross_charge":1672,"discounted_cash":1254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":736}]}]},{"description":"29885 Knee Arthro, Dril Ost Dis W/bn Gft","code_information":[{"code":"CP17585603283899553","type":"CDM"},{"code":"510","type":"RC"},{"code":"29885","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":346,"maximum":1530,"gross_charge":1672,"discounted_cash":1254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1530},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":736}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  30mm","code_information":[{"code":"48500","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  35mm","code_information":[{"code":"48501","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  40mm","code_information":[{"code":"48502","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  45mm","code_information":[{"code":"48503","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  50mm","code_information":[{"code":"48504","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  55mm","code_information":[{"code":"48505","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  60mm","code_information":[{"code":"48506","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  95mm","code_information":[{"code":"48513","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48513","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 100mm","code_information":[{"code":"48514","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48514","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 110mm","code_information":[{"code":"48516","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48516","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 115mm","code_information":[{"code":"48517","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48517","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 120mm","code_information":[{"code":"48518","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48518","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 125mm","code_information":[{"code":"48519","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd 130mm","code_information":[{"code":"48520","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  40mm","code_information":[{"code":"48521","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  50mm","code_information":[{"code":"48523","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  55mm","code_information":[{"code":"48524","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  60mm","code_information":[{"code":"48525","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  75mm","code_information":[{"code":"48528","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48528","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  80mm","code_information":[{"code":"48529","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48529","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  90mm","code_information":[{"code":"48531","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48531","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  95mm","code_information":[{"code":"48532","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48532","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd 100mm","code_information":[{"code":"48533","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48533","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd 105mm","code_information":[{"code":"48534","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48534","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd 110mm","code_information":[{"code":"48535","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd 120mm","code_information":[{"code":"48537","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48537","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.3.5mm Partial Thrd  50mm","code_information":[{"code":"52996","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.4.0mm 1/3 Thrd 44mm","code_information":[{"code":"52994","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Screw Cann.4.0mm 1/3 Thrd 50mm","code_information":[{"code":"52997","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Orthosis Ko Rightbledsoe Brace","code_information":[{"code":"52010-RT","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1832","type":"HCPCS","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"Orthosis Ko Leftbledsoe Brace","code_information":[{"code":"52138-LT","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1832","type":"HCPCS","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":344,"maximum":1523,"gross_charge":1665,"discounted_cash":1249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1499},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":733}]}]},{"description":"28805 Amputation Thru Metatarsal","code_information":[{"code":"CP17585603283880119","type":"CDM"},{"code":"510","type":"RC"},{"code":"28805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1520,"gross_charge":1661,"discounted_cash":1246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":731}]}]},{"description":"49652 Laparoscopic Hernia Rpr V,u,s,e","code_information":[{"code":"CP17585603283907797","type":"CDM"},{"code":"510","type":"RC"},{"code":"49652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1520,"gross_charge":1661,"discounted_cash":1246,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1520},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":731}]}]},{"description":"Mirena Iud","code_information":[{"code":"CP17585600566688365","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7298","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1518,"gross_charge":1659,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":730}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tib/hum Rod Trans Screw 3.7mm X 35mm","code_information":[{"code":"48058","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1518,"gross_charge":1659,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1518},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1493},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":730}]}]},{"description":"Skyla Iud","code_information":[{"code":"CP17585600566712390","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1517,"gross_charge":1658,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":730}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"23430 Tenodesis Long Tendon Of Biceps","code_information":[{"code":"CP17585603283862268","type":"CDM"},{"code":"510","type":"RC"},{"code":"23430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1517,"gross_charge":1658,"discounted_cash":1244,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1517},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":730}]}]},{"description":"Ex.fix. Stein.pin 4.5mm X 300mm","code_information":[{"code":"50426","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50426","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":343,"maximum":1516,"gross_charge":1657,"discounted_cash":1243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1425},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":729}]}]},{"description":"Intramedullary Plug 15mm","code_information":[{"code":"48397","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":342,"maximum":1513,"gross_charge":1654,"discounted_cash":1241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":728}]}]},{"description":"Intramedullary Plug  9mm","code_information":[{"code":"48491","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":342,"maximum":1513,"gross_charge":1654,"discounted_cash":1241,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1489},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":728}]}]},{"description":"Inj Anesthetic Lumbar/thoracic","code_information":[{"code":"850081","type":"CDM"},{"code":"360","type":"RC"},{"code":"64520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":342,"maximum":1512,"gross_charge":1653,"discounted_cash":1240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"Harmonic Scalpel Electrode Har 36cm","code_information":[{"code":"50327","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50327","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":342,"maximum":1512,"gross_charge":1653,"discounted_cash":1240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1512},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1422},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":727}]}]},{"description":"24538 Supra Elbow W/k-wires W/manip","code_information":[{"code":"CP17585603283860576","type":"CDM"},{"code":"510","type":"RC"},{"code":"24538","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":341,"maximum":1508,"gross_charge":1648,"discounted_cash":1236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"27422 Reconstruction Dislocate Patella","code_information":[{"code":"CP17585603283872443","type":"CDM"},{"code":"510","type":"RC"},{"code":"27422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":341,"maximum":1508,"gross_charge":1648,"discounted_cash":1236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"Endscp Retrvl Device Roth Net3.8cmx5.5cm","code_information":[{"code":"50351","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":341,"maximum":1508,"gross_charge":1648,"discounted_cash":1236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1508},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1417},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":725}]}]},{"description":"28289 Repair Cheilectomy Hallux Rigidus","code_information":[{"code":"CP17585603283886432","type":"CDM"},{"code":"510","type":"RC"},{"code":"28289","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1506,"gross_charge":1646,"discounted_cash":1235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"49560 Repair Initial Inci/ventral Hernia","code_information":[{"code":"CP17585603283902929","type":"CDM"},{"code":"510","type":"RC"},{"code":"49560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1506,"gross_charge":1646,"discounted_cash":1235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1506},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"26746 Open-articular Fract Ea","code_information":[{"code":"CP17585603283873823","type":"CDM"},{"code":"510","type":"RC"},{"code":"26746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1505,"gross_charge":1645,"discounted_cash":1234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"Gyn Versapoint Spring Tip Electrode","code_information":[{"code":"50318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1505,"gross_charge":1645,"discounted_cash":1234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"Gyn Versapoint Twizzle Tip Electrode","code_information":[{"code":"50319","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1505,"gross_charge":1645,"discounted_cash":1234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"Gyn Versapoint 0deg Vaporizing Electrode","code_information":[{"code":"50320","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1505,"gross_charge":1645,"discounted_cash":1234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1481},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":724}]}]},{"description":"Hip Femoral Head 28mm Short Plus Neck","code_information":[{"code":"48385","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48385","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1503,"gross_charge":1643,"discounted_cash":1232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":723}]}]},{"description":"Hip Femoral Head 28mm Long Neck","code_information":[{"code":"48424","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48424","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":340,"maximum":1503,"gross_charge":1643,"discounted_cash":1232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1503},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":723}]}]},{"description":"Excision Of Back Subcutaneous Tissue And Fascia, Open Approach","code_information":[{"code":"CP17585603283910564","type":"CDM"},{"code":"510","type":"RC"},{"code":"21933","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":1501,"gross_charge":1640,"discounted_cash":1230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":722}]}]},{"description":"Pleur Evac","code_information":[{"code":"49244","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":1501,"gross_charge":1640,"discounted_cash":1230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":722}]}]},{"description":"Plate Ti 3.5mm Lc-dcp 7 Hole","code_information":[{"code":"50701","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":1501,"gross_charge":1640,"discounted_cash":1230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":951},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":722}]}]},{"description":"Harmonic Scalpel Dissect.hook 5mm X 10cm","code_information":[{"code":"50343","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":339,"maximum":1498,"gross_charge":1637,"discounted_cash":1228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1473},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":720}]}]},{"description":"Plate Ti 2.4mm Lc-dcp 6 Hole","code_information":[{"code":"50695","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":338,"maximum":1497,"gross_charge":1636,"discounted_cash":1227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":720}]}]},{"description":"Plate T-plate 6 Hole","code_information":[{"code":"48710","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":338,"maximum":1497,"gross_charge":1636,"discounted_cash":1227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1497},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":720}]}]},{"description":"Excision Of Tumor,soft Tissue Of Neck Of Anerior Thorax","code_information":[{"code":"CP17585603283918208","type":"CDM"},{"code":"510","type":"RC"},{"code":"21554","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":338,"maximum":1495,"gross_charge":1634,"discounted_cash":1226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1495},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":719}]}]},{"description":"Staple Reload Endo L.cutter 35mm Regular","code_information":[{"code":"49182","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49182","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":337,"maximum":1492,"gross_charge":1631,"discounted_cash":1223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1468},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":718}]}]},{"description":"Bone Graft Canc.block Special Order","code_information":[{"code":"48956","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48956","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":337,"maximum":1491,"gross_charge":1630,"discounted_cash":1223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":717}]}]},{"description":"Lap Trocar Balloon Open Access Port10/12","code_information":[{"code":"50350","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":337,"maximum":1491,"gross_charge":1629,"discounted_cash":1222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1491},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1466},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1401},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":717}]}]},{"description":"25607 Open Tx Distal Radial Fx/epip Sep","code_information":[{"code":"CP17585603283867758","type":"CDM"},{"code":"510","type":"RC"},{"code":"25607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":337,"maximum":1490,"gross_charge":1628,"discounted_cash":1221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1490},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1465},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":716}]}]},{"description":"27310 Exploration Of Knee Joint","code_information":[{"code":"CP17585603283878629","type":"CDM"},{"code":"510","type":"RC"},{"code":"27310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1487,"gross_charge":1625,"discounted_cash":1219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1487},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  70mm","code_information":[{"code":"48508","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1486,"gross_charge":1624,"discounted_cash":1218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  75mm","code_information":[{"code":"48509","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1486,"gross_charge":1624,"discounted_cash":1218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1486},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":715}]}]},{"description":"Colonoscopy","code_information":[{"code":"17900","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1485,"gross_charge":1623,"discounted_cash":1217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Staple Unit Endo L.cutter 45mm Blue","code_information":[{"code":"50306","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1485,"gross_charge":1623,"discounted_cash":1217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Staple Unit Endo L.cutter 45mm White","code_information":[{"code":"52178","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52178","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1485,"gross_charge":1623,"discounted_cash":1217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Staple Unit Endo L.cutter 45mm Green","code_information":[{"code":"52181","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52181","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":336,"maximum":1485,"gross_charge":1623,"discounted_cash":1217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1485},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1461},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"27598 Disarticulation (Amp) At Knee","code_information":[{"code":"CP17585603283872651","type":"CDM"},{"code":"510","type":"RC"},{"code":"27598","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":1484,"gross_charge":1622,"discounted_cash":1217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":714}]}]},{"description":"Ortho Cement Simplex P Full Dose","code_information":[{"code":"48949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":1483,"gross_charge":1621,"discounted_cash":1216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":713}]}]},{"description":"Ortho Cement Simplex P Half Dose","code_information":[{"code":"48995","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":1483,"gross_charge":1621,"discounted_cash":1216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":713}]}]},{"description":"24575 Open Tx Humeral Fx","code_information":[{"code":"CP17585603283868386","type":"CDM"},{"code":"510","type":"RC"},{"code":"24575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":1483,"gross_charge":1621,"discounted_cash":1216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":713}]}]},{"description":"Xtrafix Rod 6.0mm X 200mm","code_information":[{"code":"51338","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":335,"maximum":1480,"gross_charge":1618,"discounted_cash":1214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":712}]}]},{"description":"Inj Other Peripheral Nerve/branch","code_information":[{"code":"850068","type":"CDM"},{"code":"360","type":"RC"},{"code":"64450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":1480,"gross_charge":1617,"discounted_cash":1213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Inj Sciatic Nerve","code_information":[{"code":"850072","type":"CDM"},{"code":"360","type":"RC"},{"code":"64445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":1480,"gross_charge":1617,"discounted_cash":1213,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1480},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"1.6 Mm Perc Uls  Cannula","code_information":[{"code":"52642","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52642","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":1478,"gross_charge":1615,"discounted_cash":1211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1478},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":711}]}]},{"description":"Plate T Sml 5 Hole Head Oblique Angle","code_information":[{"code":"48654","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48654","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":1476,"gross_charge":1613,"discounted_cash":1210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":710}]}]},{"description":"Ortho Cement Femur Prep System","code_information":[{"code":"48945","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":334,"maximum":1476,"gross_charge":1613,"discounted_cash":1210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":936},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":710}]}]},{"description":"Total Knee Patella Dome 38mm Dia  9.5mm","code_information":[{"code":"50407","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1474,"gross_charge":1611,"discounted_cash":1208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":709}]}]},{"description":"Total Knee Patella Dome 41mm Dia 10.0mm","code_information":[{"code":"50455","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50455","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1474,"gross_charge":1611,"discounted_cash":1208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1474},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":709}]}]},{"description":"Intraosseous Needle 15g 45mm (40kg&up)","code_information":[{"code":"52114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1472,"gross_charge":1609,"discounted_cash":1207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1472},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd  8mm","code_information":[{"code":"48965","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd  9mm","code_information":[{"code":"48966","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 10mm","code_information":[{"code":"48967","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 11mm","code_information":[{"code":"48968","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48968","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 12mm","code_information":[{"code":"48969","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 13mm","code_information":[{"code":"48970","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 14mm","code_information":[{"code":"48971","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 15mm","code_information":[{"code":"48972","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 16mm","code_information":[{"code":"48973","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48973","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 17mm","code_information":[{"code":"48974","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48974","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 18mm","code_information":[{"code":"48975","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 19mm","code_information":[{"code":"48976","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 20mm","code_information":[{"code":"48977","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 21mm","code_information":[{"code":"48978","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48978","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 22mm","code_information":[{"code":"48979","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 23mm","code_information":[{"code":"48980","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 24mm","code_information":[{"code":"48981","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48981","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 25mm","code_information":[{"code":"48982","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48982","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 26mm","code_information":[{"code":"48983","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 27mm","code_information":[{"code":"48984","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 28mm","code_information":[{"code":"48985","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48985","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 29mm","code_information":[{"code":"48986","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48986","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 30mm","code_information":[{"code":"48987","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 32mm","code_information":[{"code":"48988","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 34mm","code_information":[{"code":"48989","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 36mm","code_information":[{"code":"48990","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 38mm","code_information":[{"code":"48991","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Short Thrd 40mm","code_information":[{"code":"48992","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 16mm","code_information":[{"code":"50561","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 18mm","code_information":[{"code":"50562","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50562","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 20mm","code_information":[{"code":"50563","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50563","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 22mm","code_information":[{"code":"50564","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 24mm","code_information":[{"code":"50565","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50565","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 26mm","code_information":[{"code":"50566","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50566","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 28mm","code_information":[{"code":"50567","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 30mm","code_information":[{"code":"50568","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50568","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 32mm","code_information":[{"code":"50569","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 34mm","code_information":[{"code":"50570","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 36mm","code_information":[{"code":"50571","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50571","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 38mm","code_information":[{"code":"50572","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50572","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 40mm","code_information":[{"code":"50573","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50573","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 42mm","code_information":[{"code":"50574","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50574","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 44mm","code_information":[{"code":"50575","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50575","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 46mm","code_information":[{"code":"50576","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 48mm","code_information":[{"code":"50577","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50577","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 10mm","code_information":[{"code":"50579","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50579","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 12mm","code_information":[{"code":"50580","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50580","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 14mm","code_information":[{"code":"50581","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50581","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 16mm","code_information":[{"code":"50582","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 18mm","code_information":[{"code":"50583","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50583","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 20mm","code_information":[{"code":"50584","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50584","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 22mm","code_information":[{"code":"50585","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50585","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 24mm","code_information":[{"code":"50586","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50586","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 26mm","code_information":[{"code":"50587","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 28mm","code_information":[{"code":"50588","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 30mm","code_information":[{"code":"50589","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 32mm","code_information":[{"code":"50590","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50590","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 34mm","code_information":[{"code":"50591","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50591","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 36mm","code_information":[{"code":"50592","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 38mm","code_information":[{"code":"50593","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 40mm","code_information":[{"code":"50594","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50594","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 42mm","code_information":[{"code":"50595","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 44mm","code_information":[{"code":"50596","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50596","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 46mm","code_information":[{"code":"50597","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50597","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 48mm","code_information":[{"code":"50598","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50598","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.4.0mm Short Thrd 50mm","code_information":[{"code":"50599","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd  8mm","code_information":[{"code":"50732","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50732","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd  9mm","code_information":[{"code":"50733","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 10mm","code_information":[{"code":"50734","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 11mm","code_information":[{"code":"50735","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50735","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 12mm","code_information":[{"code":"50736","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 13mm","code_information":[{"code":"50737","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50737","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 14mm","code_information":[{"code":"50738","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50738","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 15mm","code_information":[{"code":"50739","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50739","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 16mm","code_information":[{"code":"50740","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50740","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 17mm","code_information":[{"code":"50741","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50741","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 18mm","code_information":[{"code":"50742","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50742","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 19mm","code_information":[{"code":"50743","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50743","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 20mm","code_information":[{"code":"50744","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50744","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 21mm","code_information":[{"code":"50745","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 22mm","code_information":[{"code":"50746","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50746","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 23mm","code_information":[{"code":"50747","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 24mm","code_information":[{"code":"50748","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 25mm","code_information":[{"code":"50749","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 26mm","code_information":[{"code":"50750","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 27mm","code_information":[{"code":"50751","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50751","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 28mm","code_information":[{"code":"50752","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50752","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 29mm","code_information":[{"code":"50753","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 30mm","code_information":[{"code":"50754","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50754","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 32mm","code_information":[{"code":"50755","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 34mm","code_information":[{"code":"50756","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50756","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 36mm","code_information":[{"code":"50757","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 38mm","code_information":[{"code":"50758","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50758","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Short Thrd 40mm","code_information":[{"code":"50759","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50759","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 14mm","code_information":[{"code":"50760","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 15mm","code_information":[{"code":"50761","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 16mm","code_information":[{"code":"50762","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 17mm","code_information":[{"code":"50763","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50763","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 18mm","code_information":[{"code":"50764","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 19mm","code_information":[{"code":"50765","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 20mm","code_information":[{"code":"50766","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50766","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 21mm","code_information":[{"code":"50767","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50767","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 22mm","code_information":[{"code":"50768","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50768","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 23mm","code_information":[{"code":"50769","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50769","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 24mm","code_information":[{"code":"50770","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 25mm","code_information":[{"code":"50771","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50771","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 26mm","code_information":[{"code":"50772","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50772","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 27mm","code_information":[{"code":"50773","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 28mm","code_information":[{"code":"50774","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 29mm","code_information":[{"code":"50775","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50775","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 30mm","code_information":[{"code":"50776","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50776","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 32mm","code_information":[{"code":"50777","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50777","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 34mm","code_information":[{"code":"50778","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 36mm","code_information":[{"code":"50779","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 38mm","code_information":[{"code":"50780","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ti Cann.3.0mm Long Thrd 40mm","code_information":[{"code":"50781","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 14mm","code_information":[{"code":"50800","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50800","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 15mm","code_information":[{"code":"50801","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 16mm","code_information":[{"code":"50802","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 17mm","code_information":[{"code":"50803","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 18mm","code_information":[{"code":"50804","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50804","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 19mm","code_information":[{"code":"50805","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 20mm","code_information":[{"code":"50806","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50806","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 21mm","code_information":[{"code":"50807","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50807","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 22mm","code_information":[{"code":"50808","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 23mm","code_information":[{"code":"50809","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 24mm","code_information":[{"code":"50810","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 25mm","code_information":[{"code":"50811","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 26mm","code_information":[{"code":"50812","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50812","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 27mm","code_information":[{"code":"50813","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50813","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 28mm","code_information":[{"code":"50814","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50814","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 29mm","code_information":[{"code":"50815","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50815","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 30mm","code_information":[{"code":"50816","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50816","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 32mm","code_information":[{"code":"50817","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50817","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 34mm","code_information":[{"code":"50818","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50818","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 36mm","code_information":[{"code":"50819","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50819","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 38mm","code_information":[{"code":"50820","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"Screw Ss Cann.3.0mm Long Thrd 40mm","code_information":[{"code":"50821","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":333,"maximum":1471,"gross_charge":1608,"discounted_cash":1206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":708}]}]},{"description":"29861 Hip Arthro, Surg W/rem Of Loose/fb","code_information":[{"code":"CP17585603283897288","type":"CDM"},{"code":"510","type":"RC"},{"code":"29861","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":332,"maximum":1469,"gross_charge":1605,"discounted_cash":1204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":706}]}]},{"description":"25628 Open-wrist Carp Scaphoid Fract","code_information":[{"code":"CP17585603283869419","type":"CDM"},{"code":"510","type":"RC"},{"code":"25628","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":1464,"gross_charge":1600,"discounted_cash":1200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1464},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1440},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":704}]}]},{"description":"Occlusion Of Hemorrhoidal Plexus W/ Extraluminal Device","code_information":[{"code":"CP17585603283946675","type":"CDM"},{"code":"510","type":"RC"},{"code":"45398","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":331,"maximum":1463,"gross_charge":1599,"discounted_cash":1199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":704}]}]},{"description":"Rr-erythropoetin Inj. 20,000units/ml","code_information":[{"code":"304017","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":330,"maximum":1462,"gross_charge":1598,"discounted_cash":1199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":703}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"49521 Repair Ing Hernia Blocked","code_information":[{"code":"CP17585603283905567","type":"CDM"},{"code":"510","type":"RC"},{"code":"49521","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":330,"maximum":1462,"gross_charge":1598,"discounted_cash":1199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1462},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1438},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":703}]}]},{"description":"47563 Laparoscopy Surgical; Cholect W/ch","code_information":[{"code":"CP17585603283903735","type":"CDM"},{"code":"510","type":"RC"},{"code":"47563","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":330,"maximum":1459,"gross_charge":1595,"discounted_cash":1196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1459},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":702}]}]},{"description":"Tib/hum Rod Tab For 2.5mm Screws","code_information":[{"code":"48057","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Tib/hum Rod Tab For 1 3.7mm Screw","code_information":[{"code":"48361","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 16mm","code_information":[{"code":"48541","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 24mm","code_information":[{"code":"48543","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 28mm","code_information":[{"code":"48544","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 32mm","code_information":[{"code":"48545","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 36mm","code_information":[{"code":"48546","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48546","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 40mm","code_information":[{"code":"48547","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 44mm","code_information":[{"code":"48548","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48548","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 48mm","code_information":[{"code":"48549","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48549","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 20mm","code_information":[{"code":"48553","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48553","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 22mm","code_information":[{"code":"48554","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48554","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 24mm","code_information":[{"code":"48555","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48555","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 26mm","code_information":[{"code":"48556","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 28mm","code_information":[{"code":"48557","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48557","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 30mm","code_information":[{"code":"48558","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 32mm","code_information":[{"code":"48559","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48559","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 34mm","code_information":[{"code":"48560","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 36mm","code_information":[{"code":"48561","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 38mm","code_information":[{"code":"48562","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48562","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 40mm","code_information":[{"code":"48563","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48563","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 42mm","code_information":[{"code":"48564","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 46mm","code_information":[{"code":"48565","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48565","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 48mm","code_information":[{"code":"48566","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48566","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 50mm","code_information":[{"code":"48567","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 10mm","code_information":[{"code":"48578","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 40mm","code_information":[{"code":"48592","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 14mm","code_information":[{"code":"48890","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 16mm","code_information":[{"code":"48891","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 18mm","code_information":[{"code":"48892","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 22mm","code_information":[{"code":"48893","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48893","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 26mm","code_information":[{"code":"48894","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 30mm","code_information":[{"code":"48895","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48895","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 50mm","code_information":[{"code":"48902","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 18mm","code_information":[{"code":"50726","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50726","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 34mm","code_information":[{"code":"50727","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50727","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 38mm","code_information":[{"code":"50728","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50728","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 42mm","code_information":[{"code":"50729","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50729","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 46mm","code_information":[{"code":"50730","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1458,"gross_charge":1593,"discounted_cash":1195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1434},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":701}]}]},{"description":"Bone Screw 6.5mm 15mm","code_information":[{"code":"48045","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1457,"gross_charge":1592,"discounted_cash":1194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"Screw Compression Hex 4.7mmx1.25in","code_information":[{"code":"52301","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1457,"gross_charge":1592,"discounted_cash":1194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"Screw Cortical, Lge Hex, 40mm","code_information":[{"code":"52302","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1457,"gross_charge":1592,"discounted_cash":1194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"Screw Cortical, Lge Hex, 38mm","code_information":[{"code":"52303","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1457,"gross_charge":1592,"discounted_cash":1194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"49451 Repl Duod/jej Tube Perc","code_information":[{"code":"CP17585603283902145","type":"CDM"},{"code":"510","type":"RC"},{"code":"49451","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1456,"gross_charge":1591,"discounted_cash":1193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1456},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":700}]}]},{"description":"Tube Miller-abbott Intestinal 16fr","code_information":[{"code":"49058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":329,"maximum":1454,"gross_charge":1589,"discounted_cash":1192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1454},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1430},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":699}]}]},{"description":"All Poly Pat Ve 35mm Dia","code_information":[{"code":"52532","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52532","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"3.5mm Uls T-plt 3h Head 5h Shaft, 73mm","code_information":[{"code":"52701","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"3.5mm T-p Obl Lt 3h Head 3h Shaft 51mm","code_information":[{"code":"52703","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"3.5mm T-plt Oblique Rt 3h Head 3h Sh51mm","code_information":[{"code":"52705","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"All Poly Pat Ve 32mm Dia","code_information":[{"code":"52838","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"All Poly Pat Ve 29mm Dia","code_information":[{"code":"52866","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52866","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"All Poly Pat Ve 38mm Dia","code_information":[{"code":"52991","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1452,"gross_charge":1587,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1452},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"Rr-aloxi 0.25mg/5ml","code_information":[{"code":"306318","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP306318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1451,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vcare Retractor-elevator Small Cup","code_information":[{"code":"52168","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52168","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1451,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"Vcare Retractor-elevator Medium Cup","code_information":[{"code":"52169","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1451,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"Vcare Retractor-elevator Large Cup","code_information":[{"code":"52170","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1451,"gross_charge":1586,"discounted_cash":1190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":698}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg  8 Hole","code_information":[{"code":"48226","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg  8 Hole","code_information":[{"code":"48227","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg  8 Hole","code_information":[{"code":"48228","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg  8 Hole","code_information":[{"code":"48229","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg 10 Hole","code_information":[{"code":"48231","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg 10 Hole","code_information":[{"code":"48232","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg 10 Hole","code_information":[{"code":"48234","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg 12 Hole","code_information":[{"code":"48236","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg 12 Hole","code_information":[{"code":"48237","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg 12 Hole","code_information":[{"code":"48238","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48238","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Plate Ss Dhs Std.barrel 150deg 12 Hole","code_information":[{"code":"48239","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1450,"gross_charge":1585,"discounted_cash":1189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1363},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"Stapler Rotating Clip Applier Med/lg","code_information":[{"code":"49814","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49814","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":328,"maximum":1449,"gross_charge":1584,"discounted_cash":1188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1449},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":697}]}]},{"description":"24615 Open Tx Acute/chron Elbow Disloc","code_information":[{"code":"CP17585603283863521","type":"CDM"},{"code":"510","type":"RC"},{"code":"24615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1448,"gross_charge":1582,"discounted_cash":1187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":696}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  80mm","code_information":[{"code":"48510","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48510","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  85mm","code_information":[{"code":"48511","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Screw Cann.7.0mm 16mm Thrd  90mm","code_information":[{"code":"48512","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48512","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Plate Scp Broad 12 Hole","code_information":[{"code":"48695","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Plate Scp Broad 14 Hole","code_information":[{"code":"48696","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Ortho Cement Injector","code_information":[{"code":"48941","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48941","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":327,"maximum":1445,"gross_charge":1579,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":695}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz G","code_information":[{"code":"48391","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48391","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1444,"gross_charge":1578,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz J","code_information":[{"code":"48392","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1444,"gross_charge":1578,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.sz F","code_information":[{"code":"48395","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48395","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1444,"gross_charge":1578,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Lap Inst. Disp Grasper","code_information":[{"code":"49075","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1444,"gross_charge":1578,"discounted_cash":1184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Saw Blade Recip 12.7mm X 76mm X 1.27mm","code_information":[{"code":"48598","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48598","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1443,"gross_charge":1577,"discounted_cash":1183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1443},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1419},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":694}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  45mm","code_information":[{"code":"48850","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48850","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  50mm","code_information":[{"code":"48851","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  55mm","code_information":[{"code":"48852","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48852","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  60mm","code_information":[{"code":"48853","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48853","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  65mm","code_information":[{"code":"48854","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  70mm","code_information":[{"code":"48855","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48855","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  75mm","code_information":[{"code":"48856","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  80mm","code_information":[{"code":"48857","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  85mm","code_information":[{"code":"48858","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  90mm","code_information":[{"code":"48859","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd  95mm","code_information":[{"code":"48860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 100mm","code_information":[{"code":"48861","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 105mm","code_information":[{"code":"48862","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48862","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 110mm","code_information":[{"code":"48863","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48863","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 115mm","code_information":[{"code":"48864","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 120mm","code_information":[{"code":"48865","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 125mm","code_information":[{"code":"48866","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48866","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 32mm Thrd 130mm","code_information":[{"code":"48867","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 16mm Thrd  25mm","code_information":[{"code":"48870","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 16mm Thrd  30mm","code_information":[{"code":"48871","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 16mm Thrd  35mm","code_information":[{"code":"48872","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 16mm Thrd  40mm","code_information":[{"code":"48873","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  45mm","code_information":[{"code":"48874","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  50mm","code_information":[{"code":"48875","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48875","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  55mm","code_information":[{"code":"48876","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48876","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  60mm","code_information":[{"code":"48877","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48877","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  65mm","code_information":[{"code":"48878","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48878","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  70mm","code_information":[{"code":"48879","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48879","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  75mm","code_information":[{"code":"48880","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  80mm","code_information":[{"code":"48881","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  85mm","code_information":[{"code":"48882","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48882","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  90mm","code_information":[{"code":"48883","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd  95mm","code_information":[{"code":"48884","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd 100mm","code_information":[{"code":"48885","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48885","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd 105mm","code_information":[{"code":"48886","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd 110mm","code_information":[{"code":"48887","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd 115mm","code_information":[{"code":"48888","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48888","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Cann.6.5mm 20mm Thrd 120mm","code_information":[{"code":"48889","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 75mm","code_information":[{"code":"51144","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 80mm","code_information":[{"code":"51148","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 85mm","code_information":[{"code":"51149","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":326,"maximum":1442,"gross_charge":1576,"discounted_cash":1182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":693}]}]},{"description":"Release Rt Elbow Joint","code_information":[{"code":"CP17585603283944118","type":"CDM"},{"code":"510","type":"RC"},{"code":"24006","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1436,"gross_charge":1569,"discounted_cash":1177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1436},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1412},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Soft-silk 7.0mm X 25mm","code_information":[{"code":"48961","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48961","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1435,"gross_charge":1568,"discounted_cash":1176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1435},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1411},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":690}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 55mm","code_information":[{"code":"48568","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48568","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1433,"gross_charge":1566,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 44mm","code_information":[{"code":"48572","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48572","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1433,"gross_charge":1566,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"Arthro Meniscal Fastfix Knot Pushr/sut","code_information":[{"code":"50501","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1433,"gross_charge":1566,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"Plate Ti 3.5mm Lc-dcp 6 Hole","code_information":[{"code":"50700","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50700","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1433,"gross_charge":1566,"discounted_cash":1175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1317},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"Plate Spoon 5 Hole","code_information":[{"code":"48707","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48707","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1432,"gross_charge":1565,"discounted_cash":1174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"Plate Ti 2.0mm Straight  6 Hole","code_information":[{"code":"50660","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":324,"maximum":1432,"gross_charge":1565,"discounted_cash":1174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1432},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":689}]}]},{"description":"11012 Deb Skin Bone At Fx Site","code_information":[{"code":"CP17585600566572750","type":"CDM"},{"code":"521","type":"RC"},{"code":"11012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":1431,"gross_charge":1564,"discounted_cash":1173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":688}]}]},{"description":"11012 Deb Skin Bone At Fx Site","code_information":[{"code":"CP17585603283832944","type":"CDM"},{"code":"510","type":"RC"},{"code":"11012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":1431,"gross_charge":1564,"discounted_cash":1173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":688}]}]},{"description":"Bone Graft Canc. Block Small","code_information":[{"code":"48954","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48954","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":1431,"gross_charge":1564,"discounted_cash":1173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":688}]}]},{"description":"Endscp Gi Jaw Bx Forcep 2.3mm*110cm Oval","code_information":[{"code":"52483","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52483","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":1431,"gross_charge":1564,"discounted_cash":1173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":688}]}]},{"description":"43830 Gastrostomy, Open W/o Construction","code_information":[{"code":"CP17585603283894712","type":"CDM"},{"code":"510","type":"RC"},{"code":"43830","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":323,"maximum":1428,"gross_charge":1561,"discounted_cash":1171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1428},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":687}]}]},{"description":"29882 Knee Arthro, W/menis Rep Med/lat","code_information":[{"code":"CP17585603283899345","type":"CDM"},{"code":"510","type":"RC"},{"code":"29882","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":1426,"gross_charge":1559,"discounted_cash":1169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1311},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1403},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":686}]}]},{"description":"Stylet Peritoneal Insertion/straightenin","code_information":[{"code":"52217","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":1426,"gross_charge":1558,"discounted_cash":1169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1426},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":686}]}]},{"description":"Lap Hernia Rpr Distention Balloon Bilatl","code_information":[{"code":"50169","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":1424,"gross_charge":1556,"discounted_cash":1167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1424},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":685}]}]},{"description":"24140 Part Excision Bone Humerus","code_information":[{"code":"CP17585603283863395","type":"CDM"},{"code":"510","type":"RC"},{"code":"24140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":1423,"gross_charge":1555,"discounted_cash":1166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":684}]}]},{"description":"Repair Of Rectocele","code_information":[{"code":"CP17585603283949187","type":"CDM"},{"code":"510","type":"RC"},{"code":"45560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":322,"maximum":1423,"gross_charge":1555,"discounted_cash":1166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1423},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":684}]}]},{"description":"3.5mmt-plt Oblique Lt 3h Head 4h Sh 63mm","code_information":[{"code":"52704","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"3.5mm  T-plt Oblique Rt 3h H 4sh 63mm","code_information":[{"code":"52706","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52706","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Plate Distal Lateral Tibia Jig Right","code_information":[{"code":"52727","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52727","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Plate Distal Lateral Tibia Jig Left","code_information":[{"code":"52728","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52728","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Proximal Lateral Humeral Plate Jig, Righ","code_information":[{"code":"52626","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52626","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Proximal Lateral Humeral Plate Jig, Righ","code_information":[{"code":"52627","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Plate Locking Dcp 3.5mm X 131mm  10 Hole","code_information":[{"code":"52696","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1421,"gross_charge":1553,"discounted_cash":1165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Stapler Linear 60mm","code_information":[{"code":"49174","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49174","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1420,"gross_charge":1552,"discounted_cash":1164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Lap Inst Disp Babcock Grasper 10mm","code_information":[{"code":"49446","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49446","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1420,"gross_charge":1552,"discounted_cash":1164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":"Lap Inst Disp Babcock Grasper  5mm","code_information":[{"code":"50155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":321,"maximum":1420,"gross_charge":1552,"discounted_cash":1164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1335},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":683}]}]},{"description":".Pten (Phosphatase And Tensin Homolog)","code_information":[{"code":"757986","type":"CDM"},{"code":"310","type":"RC"},{"code":"81321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":1415,"gross_charge":1546,"discounted_cash":1160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Inj Dx/thx Agent, Paravetebral Jt 2cnd L","code_information":[{"code":"850059","type":"CDM"},{"code":"360","type":"RC"},{"code":"64491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":1415,"gross_charge":1546,"discounted_cash":1160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Inj Dx/thx Agent, Paravetebral Jt 3rd L","code_information":[{"code":"850061","type":"CDM"},{"code":"360","type":"RC"},{"code":"64492","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":1415,"gross_charge":1546,"discounted_cash":1160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Inj Dx/thx Agnt, Paravetebral L/sjt 3rd","code_information":[{"code":"850063","type":"CDM"},{"code":"360","type":"RC"},{"code":"64495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":1415,"gross_charge":1546,"discounted_cash":1160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"Plate Uls 3.5mm X 131mm 10h Dual Comp","code_information":[{"code":"51009","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":320,"maximum":1414,"gross_charge":1545,"discounted_cash":1159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1414},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":680}]}]},{"description":"27652 Repair/graft Archillies Tendon","code_information":[{"code":"CP17585603283880606","type":"CDM"},{"code":"510","type":"RC"},{"code":"27652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1409,"gross_charge":1540,"discounted_cash":1155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Tracheotomy","code_information":[{"code":"65463","type":"CDM"},{"code":"450","type":"RC"},{"code":"31603","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1409,"gross_charge":1540,"discounted_cash":1155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Repair Vermillion Laceration","code_information":[{"code":"65523","type":"CDM"},{"code":"450","type":"RC"},{"code":"40654","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1409,"gross_charge":1540,"discounted_cash":1155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":678}]}]},{"description":"Hip Centralizer 12mm Diameter","code_information":[{"code":"48337","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1408,"gross_charge":1539,"discounted_cash":1154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1408},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1385},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":677}]}]},{"description":"Screw Periart.locking 2.4mm X 14mm","code_information":[{"code":"50521","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1406,"gross_charge":1537,"discounted_cash":1153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Rr-ibandronate Syringe 3mg/3ml","code_information":[{"code":"304219","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1740","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1406,"gross_charge":1537,"discounted_cash":1153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1406},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":676}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Groshong 8.0fr Repair Kit     A4300","code_information":[{"code":"49566","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49566","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":318,"maximum":1405,"gross_charge":1536,"discounted_cash":1152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1405},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":676}]}]},{"description":"Hip Bipolar Cup 28mm Id 45mm Od","code_information":[{"code":"51885","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51885","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":1404,"gross_charge":1534,"discounted_cash":1151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":675}]}]},{"description":"Hip Bipolar Cup 22mm Id 42/43mm Od","code_information":[{"code":"51889","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":317,"maximum":1404,"gross_charge":1534,"discounted_cash":1151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":675}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 12mm","code_information":[{"code":"48540","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 20mm","code_information":[{"code":"48542","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 60mm","code_information":[{"code":"48551","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48551","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 35mm","code_information":[{"code":"48900","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 45mm","code_information":[{"code":"48901","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ss Cann.4.0mm Long Thrd 70mm","code_information":[{"code":"48903","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 12mm","code_information":[{"code":"50674","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 14mm","code_information":[{"code":"50676","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50676","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 16mm","code_information":[{"code":"50677","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50677","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 18mm","code_information":[{"code":"50678","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1400,"gross_charge":1530,"discounted_cash":1148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"14020 Skin Tissue Rearr Sk/lim 10cm Less","code_information":[{"code":"CP17585603283830700","type":"CDM"},{"code":"510","type":"RC"},{"code":"14020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1399,"gross_charge":1529,"discounted_cash":1147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1399},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1376},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":673}]}]},{"description":"Lap Inst. Disp Clinch Grasper Autosuture","code_information":[{"code":"49074","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1396,"gross_charge":1526,"discounted_cash":1145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Ureteral Stent 4fr 26cm Double Pig-tail","code_information":[{"code":"49418","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49418","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1396,"gross_charge":1526,"discounted_cash":1145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Ureteral Stent 5fr 26cm Double Pig-tail","code_information":[{"code":"49419","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1396,"gross_charge":1526,"discounted_cash":1145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Ureteral Stent 6fr 26cm Double Pig-tail","code_information":[{"code":"49420","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49420","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":316,"maximum":1396,"gross_charge":1526,"discounted_cash":1145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Opt Surg Pack Phaco","code_information":[{"code":"49892","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":1395,"gross_charge":1525,"discounted_cash":1144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1395},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":671}]}]},{"description":"Shaver Blade Orbit Synovator 4.5mm","code_information":[{"code":"48910","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":1392,"gross_charge":1521,"discounted_cash":1141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"Plate Ti T Sml 3 Hole Hd/5 Hole Shaft","code_information":[{"code":"50706","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50706","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":315,"maximum":1392,"gross_charge":1521,"discounted_cash":1141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1392},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"11772 Exc Pilonidal Cyst Complicated","code_information":[{"code":"CP17585603283838952","type":"CDM"},{"code":"510","type":"RC"},{"code":"11772","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1391,"gross_charge":1520,"discounted_cash":1140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"27829 Open-distal Tibiofib Jnt Disrupt","code_information":[{"code":"CP17585603283888120","type":"CDM"},{"code":"510","type":"RC"},{"code":"27829","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1391,"gross_charge":1520,"discounted_cash":1140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"28120 Part Excision Talus Or Calcaneus","code_information":[{"code":"CP17585603283887208","type":"CDM"},{"code":"510","type":"RC"},{"code":"28120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1391,"gross_charge":1520,"discounted_cash":1140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1391},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1368},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":669}]}]},{"description":"Arthro Magnum 2 Implant","code_information":[{"code":"52846","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1390,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Hip Bipolar Liner 28mm Id 60/62mm Od","code_information":[{"code":"51879","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51879","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1390,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Hip Bipolar Liner 22mm Id 40/41mm Od","code_information":[{"code":"51882","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51882","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1390,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Hip Bipolar Liner 28mm Id 53/54/55mm Od","code_information":[{"code":"51883","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1390,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Hip Bipolar Liner 22mm Id 43mm Od","code_information":[{"code":"51907","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1390,"gross_charge":1519,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Plate Locking Dcp 3.5mm X 92mm  7 Hole","code_information":[{"code":"52693","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52693","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1389,"gross_charge":1518,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Hip 12/14 Cocr Hd 28mm +0mm Neck Length","code_information":[{"code":"52832","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1389,"gross_charge":1518,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"Mesh Ventralight St 6","code_information":[{"code":"52893","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52893","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1389,"gross_charge":1518,"discounted_cash":1139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1305},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":668}]}]},{"description":"27334 Arthrotomy W/ Synovectomy Knee","code_information":[{"code":"CP17585603283877348","type":"CDM"},{"code":"510","type":"RC"},{"code":"27334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1387,"gross_charge":1516,"discounted_cash":1137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"29891 Ankle Arthro, Exc Osteo Def Talus","code_information":[{"code":"CP17585603283891637","type":"CDM"},{"code":"510","type":"RC"},{"code":"29891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":314,"maximum":1387,"gross_charge":1516,"discounted_cash":1137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Plate T Sml 3 Hole Head Oblique Angle","code_information":[{"code":"48652","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":313,"maximum":1386,"gross_charge":1515,"discounted_cash":1136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1386},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1364},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":667}]}]},{"description":"Plate Scp Broad  6 Hole","code_information":[{"code":"48690","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48690","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":313,"maximum":1384,"gross_charge":1513,"discounted_cash":1135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":666}]}]},{"description":"Plate Scp Broad  7 Hole","code_information":[{"code":"48691","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":313,"maximum":1384,"gross_charge":1513,"discounted_cash":1135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":666}]}]},{"description":"Plate Locking Dcp 3.5mm X 118mm  9 Hole","code_information":[{"code":"52695","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52695","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":1383,"gross_charge":1511,"discounted_cash":1133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1360},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":665}]}]},{"description":"Acetylcysteine 20%:(apap Od)30ml","code_information":[{"code":"301123","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":1382,"gross_charge":1510,"discounted_cash":1133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":664}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Mesh Gore Tex 2x4 (5x10) Tissue Patch","code_information":[{"code":"49787","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP49787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":1380,"gross_charge":1508,"discounted_cash":1131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1380},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1357},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":664}]}]},{"description":"Prostate Specific Kallikrein 4k Score -","code_information":[{"code":"758382","type":"CDM"},{"code":"300","type":"RC"},{"code":"81539","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":312,"maximum":1379,"gross_charge":1507,"discounted_cash":1130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":663}]}]},{"description":"Tourni-cot Finger Xl Blue","code_information":[{"code":"53085","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":1378,"gross_charge":1506,"discounted_cash":1130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1355},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":663}]}]},{"description":".Molecular Pathology Procedure, Level 7","code_information":[{"code":"757337","type":"CDM"},{"code":"310","type":"RC"},{"code":"81406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":1375,"gross_charge":1503,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Intramedullary Plug 13-17mm","code_information":[{"code":"48378","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":1375,"gross_charge":1503,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Plate Ti Dcp Narrow  4 Hole","code_information":[{"code":"50915","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":1375,"gross_charge":1503,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Plate Ti Dcp Narrow  5 Hole","code_information":[{"code":"50916","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50916","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":311,"maximum":1375,"gross_charge":1503,"discounted_cash":1127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":661}]}]},{"description":"Stapler Linear Cutter 55mm","code_information":[{"code":"49487","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49487","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":310,"maximum":1373,"gross_charge":1501,"discounted_cash":1126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1373},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":660}]}]},{"description":"Staple Reloading Unit Gia-100","code_information":[{"code":"52209","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":310,"maximum":1371,"gross_charge":1498,"discounted_cash":1124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":659}]}]},{"description":"28505 Open-frac G-toe Phal W+w/o Ext Fix","code_information":[{"code":"CP17585603283887315","type":"CDM"},{"code":"510","type":"RC"},{"code":"28505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":310,"maximum":1370,"gross_charge":1497,"discounted_cash":1123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1370},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":659}]}]},{"description":"25350 Osteotomy Radius, Dstl Third","code_information":[{"code":"CP17585603283866779","type":"CDM"},{"code":"510","type":"RC"},{"code":"25350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1369,"gross_charge":1496,"discounted_cash":1122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":658}]}]},{"description":"27641 Partial Exc Bone Fibula","code_information":[{"code":"CP17585603283881903","type":"CDM"},{"code":"510","type":"RC"},{"code":"27641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1369,"gross_charge":1496,"discounted_cash":1122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":658}]}]},{"description":"Spacemaker Pro Blunt Tip Trocar","code_information":[{"code":"53227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1366,"gross_charge":1493,"discounted_cash":1120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":657}]}]},{"description":"Plate T-plate 5 Hole","code_information":[{"code":"48727","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48727","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1366,"gross_charge":1493,"discounted_cash":1120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1366},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":657}]}]},{"description":"Cath Ureteral Coude Tip 4fr","code_information":[{"code":"50195","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1365,"gross_charge":1492,"discounted_cash":1119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Cath Ureteral Coude Tip 5fr","code_information":[{"code":"50196","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1365,"gross_charge":1492,"discounted_cash":1119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Cath Ureteral Coude Tip 6fr","code_information":[{"code":"50197","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1365,"gross_charge":1492,"discounted_cash":1119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Orthosis Lso","code_information":[{"code":"50385","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0631","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":309,"maximum":1365,"gross_charge":1492,"discounted_cash":1119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":656}]}]},{"description":"Total Knee Fluted Rod 17mm X 75mm","code_information":[{"code":"48076","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":308,"maximum":1362,"gross_charge":1489,"discounted_cash":1117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":655}]}]},{"description":"Arthroscopy Shoulder, Surgical Distal Claviculectomy","code_information":[{"code":"CP17585603283901196","type":"CDM"},{"code":"510","type":"RC"},{"code":"29824","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":308,"maximum":1362,"gross_charge":1489,"discounted_cash":1117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":655}]}]},{"description":"Screw Periart.locking 3.5mm X 16mm","code_information":[{"code":"51072","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51072","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":308,"maximum":1362,"gross_charge":1488,"discounted_cash":1116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1339},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":655}]}]},{"description":"Mesh Ventralight St 4.5 Echo Ps Circle","code_information":[{"code":"52911","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":308,"maximum":1361,"gross_charge":1487,"discounted_cash":1115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1361},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":654}]}]},{"description":"Tube Jejunostomy Baker 16 Fr 108 (B4086)","code_information":[{"code":"49051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":1359,"gross_charge":1485,"discounted_cash":1114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":653}]}]},{"description":"25515 Open-radial Shaft Fx W-w/o Ext Fix","code_information":[{"code":"CP17585603283864467","type":"CDM"},{"code":"510","type":"RC"},{"code":"25515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":1358,"gross_charge":1484,"discounted_cash":1113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":653}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd  45mm","code_information":[{"code":"48522","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48522","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":307,"maximum":1358,"gross_charge":1484,"discounted_cash":1113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":653}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 55mm","code_information":[{"code":"48550","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48550","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":1356,"gross_charge":1482,"discounted_cash":1112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":652}]}]},{"description":"Screw Ss Cann.4.0mm Full Thrd 65mm","code_information":[{"code":"48552","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48552","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":1356,"gross_charge":1482,"discounted_cash":1112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":652}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 12mm","code_information":[{"code":"48579","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48579","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":1356,"gross_charge":1482,"discounted_cash":1112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1356},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":652}]}]},{"description":"26567 Osteotomy Phalanx Finger Each","code_information":[{"code":"CP17585603283874457","type":"CDM"},{"code":"510","type":"RC"},{"code":"26567","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":1354,"gross_charge":1480,"discounted_cash":1110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1273},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":651}]}]},{"description":"Division Of Left Ankle Tendon, Open Approach","code_information":[{"code":"CP17585603283917250","type":"CDM"},{"code":"510","type":"RC"},{"code":"27685","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":306,"maximum":1352,"gross_charge":1478,"discounted_cash":1109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1330},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1271},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":650}]}]},{"description":"27301 Inc Drain Deep Abs/bur/hem Thi/kne","code_information":[{"code":"CP17585603283879239","type":"CDM"},{"code":"510","type":"RC"},{"code":"27301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1351,"gross_charge":1476,"discounted_cash":1107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"29879 Knee Artho, Abr Mult Drill/microfx","code_information":[{"code":"CP17585603283890974","type":"CDM"},{"code":"510","type":"RC"},{"code":"29879","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1350,"gross_charge":1475,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Repair Anterior Abdominal Hernia","code_information":[{"code":"CP17585603283945501","type":"CDM"},{"code":"510","type":"RC"},{"code":"49593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1350,"gross_charge":1475,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Repair Anterior Abdominal Hernia/implant Mesh/other Prothesia","code_information":[{"code":"CP17585603283941361","type":"CDM"},{"code":"510","type":"RC"},{"code":"49591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1350,"gross_charge":1475,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Repair Anterior Abdominal Hernia/implant Mesh/other Prothesia","code_information":[{"code":"CP17585603283949820","type":"CDM"},{"code":"510","type":"RC"},{"code":"49592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1350,"gross_charge":1475,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Dress Surgicel 2x4 Fiblr Absorb Hemostat","code_information":[{"code":"50295","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50295","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1349,"gross_charge":1474,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Plate 3.5mm Scp Forearm  8 Hole","code_information":[{"code":"48649","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1349,"gross_charge":1474,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Plate   8 Hole","code_information":[{"code":"52394","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1349,"gross_charge":1474,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"27650 Repair Archilles Tendon","code_information":[{"code":"CP17585603283882355","type":"CDM"},{"code":"510","type":"RC"},{"code":"27650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1349,"gross_charge":1474,"discounted_cash":1106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":649}]}]},{"description":"Arthro Probe 3mm Ligament Chisel Hook","code_information":[{"code":"50509","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1348,"gross_charge":1473,"discounted_cash":1105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":648}]}]},{"description":"Plate Distal Radius Right Hand","code_information":[{"code":"48678","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48678","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":305,"maximum":1348,"gross_charge":1473,"discounted_cash":1105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1348},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":648}]}]},{"description":"Plate Locking Dcp 3.5mm X 79mm  6 Hole","code_information":[{"code":"52692","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52692","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":1347,"gross_charge":1472,"discounted_cash":1104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1347},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":648}]}]},{"description":"29860 Hip Arthroscopy Diagnostic","code_information":[{"code":"CP17585603283894997","type":"CDM"},{"code":"510","type":"RC"},{"code":"29860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":1345,"gross_charge":1470,"discounted_cash":1103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":647}]}]},{"description":"Intraosseous Needle 15g 15mm (3-39kg)","code_information":[{"code":"52113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":304,"maximum":1344,"gross_charge":1469,"discounted_cash":1102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1344},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":646}]}]},{"description":"Removal of gallbladder using an endoscope","code_information":[{"code":"CP17585603283954277","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"47562","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1342,"gross_charge":1467,"discounted_cash":1100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1342},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1320},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"25606 Perc Sktl Fix Distal Radius Fx","code_information":[{"code":"CP17585603283862961","type":"CDM"},{"code":"510","type":"RC"},{"code":"25606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1341,"gross_charge":1466,"discounted_cash":1100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1341},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"Debridement Soft Tissue And/or Bone, Open W/tendon Repair","code_information":[{"code":"CP17585603283919064","type":"CDM"},{"code":"510","type":"RC"},{"code":"24359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1340,"gross_charge":1465,"discounted_cash":1099,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"Plate Ss Chs Std.barrel 130deg  8 Hole","code_information":[{"code":"48225","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1340,"gross_charge":1465,"discounted_cash":1099,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"Guide Endo Tube 15fr 6mm11mm","code_information":[{"code":"50384","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1340,"gross_charge":1465,"discounted_cash":1099,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"Saw Blade Oscill. 25mm X 90mm X 1.27mm","code_information":[{"code":"50414","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1340,"gross_charge":1465,"discounted_cash":1099,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":645}]}]},{"description":"29876 Knee Arthro, Surg Syn Maj, 2>= Com","code_information":[{"code":"CP17585603283899424","type":"CDM"},{"code":"510","type":"RC"},{"code":"29876","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":303,"maximum":1340,"gross_charge":1464,"discounted_cash":1098,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1318},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":644}]}]},{"description":"Plate Scp Narrow 10 Hole","code_information":[{"code":"48686","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48686","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1338,"gross_charge":1462,"discounted_cash":1097,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":643}]}]},{"description":"Plate Scp Narrow 12 Hole","code_information":[{"code":"48687","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1338,"gross_charge":1462,"discounted_cash":1097,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1338},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":643}]}]},{"description":"Or 1-15 1 Unit","code_information":[{"code":"17101","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1337,"gross_charge":1461,"discounted_cash":1096,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":643}]}]},{"description":"Screw Periart.locking 3.5mm/2.7mm X 22mm","code_information":[{"code":"51130","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Tourni-cot Finger Medium Orange","code_information":[{"code":"53083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Tourni-cot Finger Large Green","code_information":[{"code":"53084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Plate Scp Broad  8 Hole","code_information":[{"code":"48692","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48692","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Plate Scp Broad  9 Hole","code_information":[{"code":"48693","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48693","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Plate Scp Broad 10 Hole","code_information":[{"code":"48694","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"23150 Exc Or Curretage Bone Cyst/ben Tum","code_information":[{"code":"CP17585603283852602","type":"CDM"},{"code":"510","type":"RC"},{"code":"23150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1336,"gross_charge":1460,"discounted_cash":1095,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Orthosis Hip Abduction Cntrl Adj Flexion","code_information":[{"code":"51060","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2624","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1334,"gross_charge":1458,"discounted_cash":1094,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Hip Centralizer 17mm Diameter","code_information":[{"code":"48383","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":302,"maximum":1334,"gross_charge":1458,"discounted_cash":1094,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1334},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1312},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":642}]}]},{"description":"Tube Thoracostomy Conn To Dng System","code_information":[{"code":"65363","type":"CDM"},{"code":"450","type":"RC"},{"code":"32551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":301,"maximum":1332,"gross_charge":1456,"discounted_cash":1092,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":641}]}]},{"description":"Insrtn Of Nontnld Cath Cent Ven >5y","code_information":[{"code":"65368","type":"CDM"},{"code":"450","type":"RC"},{"code":"36556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":301,"maximum":1332,"gross_charge":1456,"discounted_cash":1092,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":641}]}]},{"description":"Central Line Placement < 5 Yrs","code_information":[{"code":"65469","type":"CDM"},{"code":"450","type":"RC"},{"code":"36555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":301,"maximum":1332,"gross_charge":1456,"discounted_cash":1092,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":641}]}]},{"description":"Us Carotidscomplete","code_information":[{"code":"39082","type":"CDM"},{"code":"921","type":"RC"},{"code":"93880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":301,"maximum":1331,"gross_charge":1455,"discounted_cash":1091,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"Us Ext-bilat Ven Doppler","code_information":[{"code":"39104","type":"CDM"},{"code":"921","type":"RC"},{"code":"93970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":301,"maximum":1331,"gross_charge":1455,"discounted_cash":1091,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1224},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":640}]}]},{"description":"27610 Arthrotomy Ankle Inc Expl Drain Fb","code_information":[{"code":"CP17585603283878501","type":"CDM"},{"code":"510","type":"RC"},{"code":"27610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1329,"gross_charge":1453,"discounted_cash":1090,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":639}]}]},{"description":"Varicella Vaccine Adult 0.5ml","code_information":[{"code":"312385","type":"CDM"},{"code":"250","type":"RC"},{"code":"90716","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1329,"gross_charge":1453,"discounted_cash":1090,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":639}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27792 Open-distal Fibular Fracture","code_information":[{"code":"CP17585603283887179","type":"CDM"},{"code":"510","type":"RC"},{"code":"27792","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1329,"gross_charge":1452,"discounted_cash":1089,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1329},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1307},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":639}]}]},{"description":"Penicillin-g La Inj 1.2mmu/2ml","code_information":[{"code":"304502","type":"CDM"},{"code":"250","type":"RC"},{"code":"60793070102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":300,"maximum":1328,"gross_charge":1451,"discounted_cash":1088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":638}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Plate Ti 3.5mm Lc-dcp 10 Hole","code_information":[{"code":"50704","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1328,"gross_charge":1451,"discounted_cash":1088,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":638}]}]},{"description":"24685 Open-ulnar Fracture Prox","code_information":[{"code":"CP17585603283860377","type":"CDM"},{"code":"510","type":"RC"},{"code":"24685","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1326,"gross_charge":1449,"discounted_cash":1087,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":638}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  90mm Zmr","code_information":[{"code":"51216","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":300,"maximum":1326,"gross_charge":1449,"discounted_cash":1087,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1326},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":638}]}]},{"description":"Fistual Or Sinus Tract Inj","code_information":[{"code":"39144","type":"CDM"},{"code":"320","type":"RC"},{"code":"76080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Specimen Xray-r","code_information":[{"code":"39362-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"76098","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Specimen Xray-l","code_information":[{"code":"39363-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"76098","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon  6mm X 8cm","code_information":[{"code":"50227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon  8mm X 8cm","code_information":[{"code":"50228","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon 10mm X 8cm","code_information":[{"code":"50229","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon 12mm X 8cm","code_information":[{"code":"50230","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon 15mm X 8cm","code_information":[{"code":"50231","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"Dilator Esophageal Balloon 18mm X 8cm","code_information":[{"code":"50232","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1325,"gross_charge":1448,"discounted_cash":1086,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1325},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":637}]}]},{"description":"27350 Patellectomy Or Hemipatellectomy","code_information":[{"code":"CP17585603283870523","type":"CDM"},{"code":"510","type":"RC"},{"code":"27350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1322,"gross_charge":1445,"discounted_cash":1084,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":636}]}]},{"description":"Open Approach Internal Fixation Reposition Lft Radius","code_information":[{"code":"CP17585603283943673","type":"CDM"},{"code":"510","type":"RC"},{"code":"24665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1322,"gross_charge":1445,"discounted_cash":1084,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":636}]}]},{"description":"Shoulder Humeral Head 44mm X 19mm","code_information":[{"code":"50549","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50549","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":299,"maximum":1321,"gross_charge":1444,"discounted_cash":1083,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":635}]}]},{"description":"Rr-darbepoetin Inj.   60mcg/0.3ml","code_information":[{"code":"304329","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":298,"maximum":1319,"gross_charge":1442,"discounted_cash":1082,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1319},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1240},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":634}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"44950 Appendectomy","code_information":[{"code":"CP17585603283909757","type":"CDM"},{"code":"510","type":"RC"},{"code":"44950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1314,"gross_charge":1436,"discounted_cash":1077,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":632}]}]},{"description":"Psn Tasp  Shim Ef 10 Mm","code_information":[{"code":"52895","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52895","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1314,"gross_charge":1436,"discounted_cash":1077,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":632}]}]},{"description":"Psn  Shim Cd 10 Mm","code_information":[{"code":"52896","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1314,"gross_charge":1436,"discounted_cash":1077,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":632}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 60mm","code_information":[{"code":"48569","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 65mm","code_information":[{"code":"48570","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Part Thrd 70mm","code_information":[{"code":"48571","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48571","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 52mm","code_information":[{"code":"48574","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48574","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 56mm","code_information":[{"code":"48575","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48575","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 54mm","code_information":[{"code":"48576","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Screw Ss Cann.4.0mm Short Thrd 58mm","code_information":[{"code":"48577","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48577","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":297,"maximum":1313,"gross_charge":1435,"discounted_cash":1076,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":631}]}]},{"description":"Plate Locking Dcp 3.5mm X 105mm  8 Hole","code_information":[{"code":"52694","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":296,"maximum":1308,"gross_charge":1429,"discounted_cash":1072,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1308},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":629}]}]},{"description":"Guardus Overtube 8.6-10.0","code_information":[{"code":"52432","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":1306,"gross_charge":1427,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":628}]}]},{"description":"Endscp Cold Snare 2.4mm","code_information":[{"code":"52438","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":1306,"gross_charge":1427,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":628}]}]},{"description":"Endscp Snare Spioder Net Retreval Device","code_information":[{"code":"52439","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":295,"maximum":1306,"gross_charge":1427,"discounted_cash":1070,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":628}]}]},{"description":"Percutaneous Fixation Of Distal Femoral Fracture","code_information":[{"code":"CP17585603283941623","type":"CDM"},{"code":"510","type":"RC"},{"code":"27509","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":1303,"gross_charge":1424,"discounted_cash":1068,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":627}]}]},{"description":"27403 Repair Of Knee Cartilage","code_information":[{"code":"CP17585603283874279","type":"CDM"},{"code":"510","type":"RC"},{"code":"27403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":1300,"gross_charge":1421,"discounted_cash":1066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"Excision Of Rt Knee Joint, Open Approach","code_information":[{"code":"CP17585603283914171","type":"CDM"},{"code":"510","type":"RC"},{"code":"27332","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":294,"maximum":1300,"gross_charge":1421,"discounted_cash":1066,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1300},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1279},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":625}]}]},{"description":"26951 Amp Finger/thumb Any Jt W Drct Clo","code_information":[{"code":"CP17585603283873212","type":"CDM"},{"code":"510","type":"RC"},{"code":"26951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":293,"maximum":1297,"gross_charge":1418,"discounted_cash":1064,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":624}]}]},{"description":"29886 Knee Arthro, Dril Intact Ost Les","code_information":[{"code":"CP17585603283894485","type":"CDM"},{"code":"510","type":"RC"},{"code":"29886","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":293,"maximum":1297,"gross_charge":1417,"discounted_cash":1063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":623}]}]},{"description":"Ed-critical Care Eval And Management","code_information":[{"code":"65012","type":"CDM"},{"code":"450","type":"RC"},{"code":"99291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":293,"maximum":1297,"gross_charge":1417,"discounted_cash":1063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":623}]}]},{"description":"Ed-critical Care Eval And Management","code_information":[{"code":"65912-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99291","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":293,"maximum":1297,"gross_charge":1417,"discounted_cash":1063,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1297},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":623}]}]},{"description":"27303 Deep Incis W Opening Of Cortex","code_information":[{"code":"CP17585603283879777","type":"CDM"},{"code":"510","type":"RC"},{"code":"27303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":293,"maximum":1295,"gross_charge":1415,"discounted_cash":1061,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":623}]}]},{"description":"Zz Epipen Jr 0.15mg:a-inj","code_information":[{"code":"304202","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1293,"gross_charge":1413,"discounted_cash":1060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":622}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Or/other 16-30 Min","code_information":[{"code":"17301","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1293,"gross_charge":1413,"discounted_cash":1060,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1272},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":622}]}]},{"description":"Ureteral Stent 6fr 24cm Double Pig-tail","code_information":[{"code":"49769","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49769","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1291,"gross_charge":1411,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":621}]}]},{"description":"Ureteral Stent 5fr 24cm Double Pig-tail","code_information":[{"code":"49832","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1291,"gross_charge":1411,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":621}]}]},{"description":"Ureteral Stent 4fr 24cm Double Pig-tail","code_information":[{"code":"49833","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1291,"gross_charge":1411,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1291},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":621}]}]},{"description":"Ex.fix. Clamp 4.0mm To 15.0mm","code_information":[{"code":"48160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":292,"maximum":1290,"gross_charge":1410,"discounted_cash":1058,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1290},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":620}]}]},{"description":"49520 Rpr Inguinal Hernia Recurr Reducib","code_information":[{"code":"CP17585603283905752","type":"CDM"},{"code":"510","type":"RC"},{"code":"49520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":1289,"gross_charge":1409,"discounted_cash":1057,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":620}]}]},{"description":"49553 Rpr Init Femoral Hernia Inc/strg","code_information":[{"code":"CP17585603283905624","type":"CDM"},{"code":"510","type":"RC"},{"code":"49553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":1287,"gross_charge":1407,"discounted_cash":1055,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":619}]}]},{"description":"Cable Assembly 1.8mm X 910mm","code_information":[{"code":"50447","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50447","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":291,"maximum":1286,"gross_charge":1405,"discounted_cash":1054,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1286},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":618}]}]},{"description":"Cfvantage Cystic Fibrosis Screenquest","code_information":[{"code":"752502","type":"CDM"},{"code":"310","type":"RC"},{"code":"81220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":1285,"gross_charge":1404,"discounted_cash":1053,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":618}]}]},{"description":"Plate Locking Dcp 3.5mm X 66mm  5 Hole","code_information":[{"code":"52691","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":1284,"gross_charge":1403,"discounted_cash":1052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1284},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":617}]}]},{"description":"26952 Amputation Finger/thumb","code_information":[{"code":"CP17585603283876459","type":"CDM"},{"code":"510","type":"RC"},{"code":"26952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":1283,"gross_charge":1402,"discounted_cash":1052,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":617}]}]},{"description":"Plate 3.5mm Scp Forearm  7 Hole","code_information":[{"code":"48648","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":290,"maximum":1281,"gross_charge":1400,"discounted_cash":1050,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1281},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":616}]}]},{"description":"25260 Repair Forearm Tendon/muscle Ea","code_information":[{"code":"CP17585603283866616","type":"CDM"},{"code":"510","type":"RC"},{"code":"25260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":288,"maximum":1276,"gross_charge":1395,"discounted_cash":1046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":614}]}]},{"description":"Alteplase Vial  2mg","code_information":[{"code":"303931","type":"CDM"},{"code":"636","type":"RC"},{"code":"50242004164","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":288,"maximum":1276,"gross_charge":1395,"discounted_cash":1046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":614}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Mesh Ventralex St Medium","code_information":[{"code":"52541","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":288,"maximum":1276,"gross_charge":1395,"discounted_cash":1046,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1276},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1256},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":614}]}]},{"description":"J7325 Hyaluronate(synvisc) Inj: 1mg","code_information":[{"code":"CP17585603283956060","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7325","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":288,"maximum":1274,"gross_charge":1392,"discounted_cash":1044,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":612}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27552 Cl Tx Knee Dislocation W Anesthesi","code_information":[{"code":"CP17585603283870222","type":"CDM"},{"code":"510","type":"RC"},{"code":"27552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":1270,"gross_charge":1388,"discounted_cash":1041,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Excision Of Thrombosed Hemorrhoid Ext","code_information":[{"code":"65378","type":"CDM"},{"code":"450","type":"RC"},{"code":"46320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":1270,"gross_charge":1388,"discounted_cash":1041,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":611}]}]},{"description":"Staple Reloading Unit Gia-60","code_information":[{"code":"49490","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":1268,"gross_charge":1386,"discounted_cash":1040,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":610}]}]},{"description":"Lap Kit Common Bile Duct Explor.cook","code_information":[{"code":"50154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":287,"maximum":1268,"gross_charge":1386,"discounted_cash":1040,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":610}]}]},{"description":"29877 Knee Arthroscopy,surg-infection","code_information":[{"code":"CP17585603283898765","type":"CDM"},{"code":"510","type":"RC"},{"code":"29877","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":1267,"gross_charge":1385,"discounted_cash":1039,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1267},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":609}]}]},{"description":"25652 Treat Fx Ulnar Styloid","code_information":[{"code":"CP17585603283869082","type":"CDM"},{"code":"510","type":"RC"},{"code":"25652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":1265,"gross_charge":1382,"discounted_cash":1037,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":608}]}]},{"description":"26990 I&d Pelv/hip Jt Deep Absc/hematoma","code_information":[{"code":"CP17585603283876437","type":"CDM"},{"code":"510","type":"RC"},{"code":"26990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":1265,"gross_charge":1382,"discounted_cash":1037,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":608}]}]},{"description":"26686 Open Tx Cmc Disloc Cmp/multi","code_information":[{"code":"CP17585603283874698","type":"CDM"},{"code":"510","type":"RC"},{"code":"26686","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":1264,"gross_charge":1381,"discounted_cash":1036,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":608}]}]},{"description":"Arthroscopy Shoulder W/debridement 3 Or More Discrete Strcutures","code_information":[{"code":"CP17585603283901292","type":"CDM"},{"code":"510","type":"RC"},{"code":"29823","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":286,"maximum":1264,"gross_charge":1381,"discounted_cash":1036,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":608}]}]},{"description":"25545 Open-fract Ulna Shaft","code_information":[{"code":"CP17585603283869840","type":"CDM"},{"code":"510","type":"RC"},{"code":"25545","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":1263,"gross_charge":1380,"discounted_cash":1035,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":607}]}]},{"description":"24147 Part Exc Bone Radial Head/neck","code_information":[{"code":"CP17585603283866472","type":"CDM"},{"code":"510","type":"RC"},{"code":"24147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":285,"maximum":1259,"gross_charge":1376,"discounted_cash":1032,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1093},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1259},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":605}]}]},{"description":"Tib/hum Rod Cap Screw W/lock","code_information":[{"code":"48056","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":1257,"gross_charge":1374,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":605}]}]},{"description":"Plate Ti T Sml 3 Hole Hd/3 Hole Shaft","code_information":[{"code":"50705","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50705","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":1257,"gross_charge":1374,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":605}]}]},{"description":"Ortho Ti Washer Thrd For 3.0 Cann.screw","code_information":[{"code":"50782","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":1257,"gross_charge":1374,"discounted_cash":1031,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":605}]}]},{"description":"29884 Knee Arthro, W/lysis Or Adheshions","code_information":[{"code":"CP17585603283892710","type":"CDM"},{"code":"510","type":"RC"},{"code":"29884","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":1255,"gross_charge":1372,"discounted_cash":1029,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Egd (Esophagogastroduodenoscopy)","code_information":[{"code":"17910","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":284,"maximum":1255,"gross_charge":1372,"discounted_cash":1029,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1255},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1235},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":604}]}]},{"description":"Nutritional Complete Case (B4151)","code_information":[{"code":"49727","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49727","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1254,"gross_charge":1370,"discounted_cash":1028,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":603}]}]},{"description":"Screw Periart.locking Conical 2.4mmx16mm","code_information":[{"code":"51045","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart.locking Conical 2.4mmx20mm","code_information":[{"code":"52057","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart.locking Conical 2.4mmx22mm","code_information":[{"code":"52097","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart.locking Conical 2.4mmx24mm","code_information":[{"code":"52344","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Plate Periart Locking T Radial 4h Rt","code_information":[{"code":"52386","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart Locking 2.4x16mm","code_information":[{"code":"52388","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52388","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart Locking 2.4x20mm","code_information":[{"code":"52389","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52389","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Screw Periart Locking 2.4x22mm","code_information":[{"code":"52390","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52390","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":283,"maximum":1252,"gross_charge":1368,"discounted_cash":1026,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":602}]}]},{"description":"Ortho Ss Washer Thrd For 3.0 Cann.screw","code_information":[{"code":"50822","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":1249,"gross_charge":1365,"discounted_cash":1024,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1249},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":601}]}]},{"description":"14000 Skin Tissue Rearr Trunk 10cm Less","code_information":[{"code":"CP17585603283831866","type":"CDM"},{"code":"510","type":"RC"},{"code":"14000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":1248,"gross_charge":1364,"discounted_cash":1023,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":600}]}]},{"description":"20680 Removal Of Implant, Deep","code_information":[{"code":"CP17585603283842040","type":"CDM"},{"code":"510","type":"RC"},{"code":"20680","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":1247,"gross_charge":1363,"discounted_cash":1022,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1247},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":600}]}]},{"description":"25820 Arthrodesis Wrist,limited Wo/graft","code_information":[{"code":"CP17585603283863554","type":"CDM"},{"code":"510","type":"RC"},{"code":"25820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":282,"maximum":1246,"gross_charge":1362,"discounted_cash":1022,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":599}]}]},{"description":"Thoracentesis W/o Imaging Bilat","code_information":[{"code":"65933-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"32554","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":282,"maximum":1246,"gross_charge":1362,"discounted_cash":1022,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1081},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":599}]}]},{"description":"Treat Knee Fracture","code_information":[{"code":"CP17585603283951970","type":"CDM"},{"code":"510","type":"RC"},{"code":"27532","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1243,"gross_charge":1359,"discounted_cash":1019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":598}]}]},{"description":"Cath Hickman Introducer 10fr       A4300","code_information":[{"code":"50063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1243,"gross_charge":1358,"discounted_cash":1019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":598}]}]},{"description":"28100 Exc Bone Cyst/tumor Talus/calcan","code_information":[{"code":"CP17585603283884758","type":"CDM"},{"code":"510","type":"RC"},{"code":"28100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1243,"gross_charge":1358,"discounted_cash":1019,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1243},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":598}]}]},{"description":"Plate Locking Dcp 3.5mm X 53mm  4 Hole","code_information":[{"code":"52690","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52690","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1242,"gross_charge":1357,"discounted_cash":1018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Uro Stone Retriever 4fr 11mm W/ Filiform","code_information":[{"code":"49158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1242,"gross_charge":1357,"discounted_cash":1018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"27766 Open-med Malleoulus Fract Wo/manip","code_information":[{"code":"CP17585603283882697","type":"CDM"},{"code":"510","type":"RC"},{"code":"27766","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1242,"gross_charge":1357,"discounted_cash":1018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Mesh Parietx Progrip 6 X3.5  Self Fixatg","code_information":[{"code":"52239","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":281,"maximum":1242,"gross_charge":1357,"discounted_cash":1018,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1077},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":597}]}]},{"description":"Mesh Ventralight St 4 X6","code_information":[{"code":"52910","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":1239,"gross_charge":1354,"discounted_cash":1016,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1239},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":596}]}]},{"description":"Iv Set Extension Tubing 35  Female Luer","code_information":[{"code":"53057","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":1238,"gross_charge":1353,"discounted_cash":1015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":595}]}]},{"description":".Recom Factor 8","code_information":[{"code":"22001","type":"CDM"},{"code":"390","type":"RC"},{"code":"CP22001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":280,"maximum":1238,"gross_charge":1353,"discounted_cash":1015,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":595}]}]},{"description":"23130 Acrominoplasty/ectomy Partial","code_information":[{"code":"CP17585603283857488","type":"CDM"},{"code":"510","type":"RC"},{"code":"23130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":1236,"gross_charge":1351,"discounted_cash":1013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":594}]}]},{"description":"Inf.port Titanium W/ 8.4fr Cath.   A4301","code_information":[{"code":"49510","type":"CDM"},{"code":"272","type":"RC"},{"code":"A4301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":1236,"gross_charge":1351,"discounted_cash":1013,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":594}]}]},{"description":"28122 Part Exc Bone Tarsal/metatarsal","code_information":[{"code":"CP17585603283882650","type":"CDM"},{"code":"510","type":"RC"},{"code":"28122","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":279,"maximum":1233,"gross_charge":1348,"discounted_cash":1011,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1233},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":593}]}]},{"description":"Prevena Plus System Kit, Us","code_information":[{"code":"52947","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP52947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":1232,"gross_charge":1346,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":592}]}]},{"description":"Regadenoson Syringe 0.4mg/5ml","code_information":[{"code":"304427","type":"CDM"},{"code":"250","type":"RC"},{"code":"46965","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":1232,"gross_charge":1346,"discounted_cash":1010,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":592}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"25670 Open-radiocarpal/intercarpal Dislo","code_information":[{"code":"CP17585603283868447","type":"CDM"},{"code":"510","type":"RC"},{"code":"25670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":1231,"gross_charge":1345,"discounted_cash":1009,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":592}]}]},{"description":"Lap Cholangiogram Cath 3 Fr","code_information":[{"code":"49818","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49818","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":278,"maximum":1230,"gross_charge":1344,"discounted_cash":1008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Arthrocentesis; Asp &/Or Injint Jt Bi","code_information":[{"code":"850043-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"20605","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":278,"maximum":1230,"gross_charge":1344,"discounted_cash":1008,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":591}]}]},{"description":"Plate 3.5mm Scp Forearm 12 Hole","code_information":[{"code":"48639","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48639","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":1227,"gross_charge":1341,"discounted_cash":1006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"44970 Laparoscopy Surgical Appendectomy","code_information":[{"code":"CP17585603283906749","type":"CDM"},{"code":"510","type":"RC"},{"code":"44970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":1227,"gross_charge":1341,"discounted_cash":1006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"Lap Inst. Disp Grasper Ethicon","code_information":[{"code":"49188","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":1227,"gross_charge":1341,"discounted_cash":1006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"Lap Inst Disp Dissector W/ Cautery","code_information":[{"code":"49197","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":1227,"gross_charge":1341,"discounted_cash":1006,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":778},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"26440 Tenolysis,flexor Tend Plm/fng Tend","code_information":[{"code":"CP17585603283878642","type":"CDM"},{"code":"510","type":"RC"},{"code":"26440","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":277,"maximum":1226,"gross_charge":1340,"discounted_cash":1005,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1226},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":590}]}]},{"description":"Hip Unipolar Head 40mm","code_information":[{"code":"48430","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48430","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 42mm","code_information":[{"code":"48431","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48431","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 44mm","code_information":[{"code":"48432","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 48mm","code_information":[{"code":"48434","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 50mm","code_information":[{"code":"48435","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 57mm","code_information":[{"code":"48438","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 60mm","code_information":[{"code":"48439","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 45mm","code_information":[{"code":"48440","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48440","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 43mm","code_information":[{"code":"50416","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50416","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 49mm","code_information":[{"code":"50418","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50418","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 51mm","code_information":[{"code":"50419","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 53mm","code_information":[{"code":"50420","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50420","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Hip Unipolar Head 55mm","code_information":[{"code":"50421","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50421","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1223,"gross_charge":1337,"discounted_cash":1003,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Lap Inst Disp Scissors Curved 5mm","code_information":[{"code":"49350","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":276,"maximum":1222,"gross_charge":1336,"discounted_cash":1002,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":588}]}]},{"description":"Im Nail Tibial 11mm X 31.5cm","code_information":[{"code":"48351","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":275,"maximum":1219,"gross_charge":1332,"discounted_cash":999,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1219},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":586}]}]},{"description":"27372 Removal Of Foreign Body","code_information":[{"code":"CP17585603283873030","type":"CDM"},{"code":"510","type":"RC"},{"code":"27372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":275,"maximum":1218,"gross_charge":1331,"discounted_cash":998,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":586}]}]},{"description":"29892 Ankle Arthro, Rep Lrg Oteo Dis Les","code_information":[{"code":"CP17585603283896625","type":"CDM"},{"code":"510","type":"RC"},{"code":"29892","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":275,"maximum":1218,"gross_charge":1331,"discounted_cash":998,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":586}]}]},{"description":"Ccppmeningococcal B Vaccine 0.5ml","code_information":[{"code":"309501","type":"CDM"},{"code":"636","type":"RC"},{"code":"90732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":1214,"gross_charge":1327,"discounted_cash":995,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1214},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":584}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"20690 App Uniplane Ex Fix Device-unilat","code_information":[{"code":"CP17585603283846043","type":"CDM"},{"code":"510","type":"RC"},{"code":"20690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":1211,"gross_charge":1324,"discounted_cash":993,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":583}]}]},{"description":"26121 Release Palm Contracture","code_information":[{"code":"CP17585603283866261","type":"CDM"},{"code":"510","type":"RC"},{"code":"26121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":1211,"gross_charge":1323,"discounted_cash":992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":582}]}]},{"description":"Methylene Blue Amp 50mg/10ml","code_information":[{"code":"312047","type":"CDM"},{"code":"250","type":"RC"},{"code":"51703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":1211,"gross_charge":1323,"discounted_cash":992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":582}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Lap Trocar Disp Bladeless 12mm 150mm","code_information":[{"code":"50378","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50378","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":274,"maximum":1211,"gross_charge":1323,"discounted_cash":992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":582}]}]},{"description":"Us Thoracentesis","code_information":[{"code":"40001","type":"CDM"},{"code":"761","type":"RC"},{"code":"32555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":273,"maximum":1210,"gross_charge":1322,"discounted_cash":992,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1050},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":582}]}]},{"description":"Lap Trocar Disp Optical 10/12mm W/handle","code_information":[{"code":"49004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":273,"maximum":1209,"gross_charge":1321,"discounted_cash":991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":581}]}]},{"description":"26735 Open Tx Phal Shaft Fx W/o Int/ext","code_information":[{"code":"CP17585603283871503","type":"CDM"},{"code":"510","type":"RC"},{"code":"26735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":273,"maximum":1209,"gross_charge":1321,"discounted_cash":991,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":581}]}]},{"description":"27380 Repair Kneecap Tendon","code_information":[{"code":"CP17585603283875687","type":"CDM"},{"code":"510","type":"RC"},{"code":"27380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":1203,"gross_charge":1315,"discounted_cash":986,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":579}]}]},{"description":"Speciality  Blade X Series Cementless","code_information":[{"code":"53195","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":272,"maximum":1201,"gross_charge":1313,"discounted_cash":985,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":578}]}]},{"description":"Plate Distal Medial Tibia Jig Right","code_information":[{"code":"52725","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1200,"gross_charge":1311,"discounted_cash":983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"Plate Distal Medial Tibia Jig Left","code_information":[{"code":"52726","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52726","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1200,"gross_charge":1311,"discounted_cash":983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"Bone Graft Copios 1cc","code_information":[{"code":"51991","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1200,"gross_charge":1311,"discounted_cash":983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":577}]}]},{"description":"64718 Neuroplasty Ulnar Nerve At Elbow","code_information":[{"code":"CP17585603283903824","type":"CDM"},{"code":"510","type":"RC"},{"code":"64718","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1199,"gross_charge":1310,"discounted_cash":983,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"Orthosis Hip Abduction Prefabricated","code_information":[{"code":"50395","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1686","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1198,"gross_charge":1309,"discounted_cash":982,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"27635 Exc/curett Bone Cyst/tumor Tib/fib","code_information":[{"code":"CP17585603283874244","type":"CDM"},{"code":"510","type":"RC"},{"code":"27635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":271,"maximum":1198,"gross_charge":1309,"discounted_cash":982,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"Ex.fix. Schanz Screw 5.0mm X 250mm","code_information":[{"code":"48124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1197,"gross_charge":1308,"discounted_cash":981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"Surgical Illuminator (Light Mat)lumitex","code_information":[{"code":"50314","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1197,"gross_charge":1308,"discounted_cash":981,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":576}]}]},{"description":"28675 Open Tx Ip Joint Disloc W Int Fix","code_information":[{"code":"CP17585603283887543","type":"CDM"},{"code":"510","type":"RC"},{"code":"28675","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1195,"gross_charge":1306,"discounted_cash":980,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":575}]}]},{"description":"49507 Rpr Inguinal Hernia Incar/strangl","code_information":[{"code":"CP17585603283900365","type":"CDM"},{"code":"510","type":"RC"},{"code":"49507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1194,"gross_charge":1305,"discounted_cash":979,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Screw Periart.cann.conical 2.4mm X 24mm","code_information":[{"code":"52306","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.44-47","code_information":[{"code":"48488","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48488","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Hip Acetabular Liner 28mm I.d. O.d.42-43","code_information":[{"code":"48489","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Lap Inst Disp Tripolar Forceps  5mm","code_information":[{"code":"50180","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Bionix Clearlook Lighted Ear Curette Var","code_information":[{"code":"502768","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP502768","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Hip Bipolar Liner 28mm Id 44/45/46mm Od","code_information":[{"code":"51887","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Hip Bipolar Liner 28mm Id 50/51/52mm Od","code_information":[{"code":"51888","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51888","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":270,"maximum":1193,"gross_charge":1304,"discounted_cash":978,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":574}]}]},{"description":"Hip Femoral Head 22mm -2.0mm Neck Length","code_information":[{"code":"51909","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":1191,"gross_charge":1302,"discounted_cash":977,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":573}]}]},{"description":"Intramedullary Plug 17mm","code_information":[{"code":"48338","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":1190,"gross_charge":1301,"discounted_cash":976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":572}]}]},{"description":"Intramedullary Plug 19mm","code_information":[{"code":"48339","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":1190,"gross_charge":1301,"discounted_cash":976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":572}]}]},{"description":"Intramedullary Plug 11mm","code_information":[{"code":"48429","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":269,"maximum":1190,"gross_charge":1301,"discounted_cash":976,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":572}]}]},{"description":"Anchor Rotator Cuff Juggerknot 2.9mm","code_information":[{"code":"51334","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51334","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":1188,"gross_charge":1298,"discounted_cash":974,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Im Nail Interlock Screw 5.0mm X 30mm","code_information":[{"code":"48353","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":1187,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Im Nail Interlock Screw 5.0mm X 35mm","code_information":[{"code":"48354","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48354","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":1187,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"Im Nail Interlock Screw 5.0mm X 40mm","code_information":[{"code":"48355","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48355","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":1187,"gross_charge":1297,"discounted_cash":973,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":571}]}]},{"description":"23120 Claviculectomy (Partial)","code_information":[{"code":"CP17585603283853829","type":"CDM"},{"code":"510","type":"RC"},{"code":"23120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":268,"maximum":1185,"gross_charge":1295,"discounted_cash":971,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":570}]}]},{"description":"27266 Closed-post Hip Arth Disloc W/anes","code_information":[{"code":"CP17585603283875806","type":"CDM"},{"code":"510","type":"RC"},{"code":"27266","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":267,"maximum":1181,"gross_charge":1291,"discounted_cash":968,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":568}]}]},{"description":"35903 Excision Infected Graft Extremity","code_information":[{"code":"CP17585603283891710","type":"CDM"},{"code":"510","type":"RC"},{"code":"35903","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":1179,"gross_charge":1288,"discounted_cash":966,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":567}]}]},{"description":"Ct Needle Placement","code_information":[{"code":"39515","type":"CDM"},{"code":"350","type":"RC"},{"code":"77012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":1179,"gross_charge":1288,"discounted_cash":966,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":567}]}]},{"description":"29870 Knee Arthroscopy, Dx","code_information":[{"code":"CP17585603283899646","type":"CDM"},{"code":"510","type":"RC"},{"code":"29870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":1177,"gross_charge":1286,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":566}]}]},{"description":".Transfusion Filter Wbc Removal Platelet","code_information":[{"code":"49103","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":1177,"gross_charge":1286,"discounted_cash":965,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":566}]}]},{"description":"Stapler Linear Cutter 75mm Tlc75","code_information":[{"code":"52212","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":266,"maximum":1175,"gross_charge":1284,"discounted_cash":963,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":565}]}]},{"description":"Hto Screw 6.5mm X 70mm","code_information":[{"code":"48068","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":1174,"gross_charge":1283,"discounted_cash":962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":565}]}]},{"description":"Tib/hum Rod Guide Wire 3x1000mm Ball Tip","code_information":[{"code":"48362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":1174,"gross_charge":1283,"discounted_cash":962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":565}]}]},{"description":"Hip Bone Screw 6.5mm 35mm","code_information":[{"code":"48396","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":1174,"gross_charge":1283,"discounted_cash":962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1155},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":565}]}]},{"description":"49550 Rpr Int Femoral Hernia Reducible","code_information":[{"code":"CP17585603283905711","type":"CDM"},{"code":"510","type":"RC"},{"code":"49550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":1173,"gross_charge":1282,"discounted_cash":962,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":564}]}]},{"description":"Fasciotomy Leg Ant/lat","code_information":[{"code":"65576","type":"CDM"},{"code":"450","type":"RC"},{"code":"27600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":265,"maximum":1171,"gross_charge":1280,"discounted_cash":960,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1171},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":563}]}]},{"description":"20103 Explor Penet Wound Extremity","code_information":[{"code":"CP17585603283834491","type":"CDM"},{"code":"510","type":"RC"},{"code":"20103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1170,"gross_charge":1279,"discounted_cash":959,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":563}]}]},{"description":"45020 Drainage Rectal Abscess","code_information":[{"code":"CP17585603283901875","type":"CDM"},{"code":"510","type":"RC"},{"code":"45020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1168,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":562}]}]},{"description":"49590 Rpr Spigelian Hernia","code_information":[{"code":"CP17585603283908796","type":"CDM"},{"code":"510","type":"RC"},{"code":"49590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1168,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":562}]}]},{"description":"Lap Gastrostomy","code_information":[{"code":"CP17585603283948022","type":"CDM"},{"code":"510","type":"RC"},{"code":"43653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1168,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":562}]}]},{"description":"Repair Inguinal Hernia Sliding","code_information":[{"code":"CP17585603283948725","type":"CDM"},{"code":"510","type":"RC"},{"code":"49525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1168,"gross_charge":1277,"discounted_cash":958,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1098},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":562}]}]},{"description":"26615 Open-metacarpal Fract Ea","code_information":[{"code":"CP17585603283877259","type":"CDM"},{"code":"510","type":"RC"},{"code":"26615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1167,"gross_charge":1275,"discounted_cash":956,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":561}]}]},{"description":"26685 Open Trtm Hand Disl Oth Than Thum","code_information":[{"code":"CP17585603283871699","type":"CDM"},{"code":"510","type":"RC"},{"code":"26685","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":264,"maximum":1167,"gross_charge":1275,"discounted_cash":956,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":561}]}]},{"description":"Lap Trocar Disp Bluntport 12mm","code_information":[{"code":"49198","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49198","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":1165,"gross_charge":1273,"discounted_cash":955,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"27385 Quad Rupture Repair, Primary","code_information":[{"code":"CP17585603283876818","type":"CDM"},{"code":"510","type":"RC"},{"code":"27385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":1165,"gross_charge":1273,"discounted_cash":955,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1165},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1095},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"27756 Perc Skel Fix Tib Shaft Fracture","code_information":[{"code":"CP17585603283884238","type":"CDM"},{"code":"510","type":"RC"},{"code":"27756","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":1164,"gross_charge":1272,"discounted_cash":954,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"29898 Ankle Arthro, W/ext Debridement","code_information":[{"code":"CP17585603283894437","type":"CDM"},{"code":"510","type":"RC"},{"code":"29898","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":1164,"gross_charge":1272,"discounted_cash":954,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":560}]}]},{"description":"28820 Amput-toe Metatarsophalangeal Jnt","code_information":[{"code":"CP17585603283889312","type":"CDM"},{"code":"510","type":"RC"},{"code":"28820","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":263,"maximum":1162,"gross_charge":1270,"discounted_cash":953,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1162},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1143},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":559}]}]},{"description":"Anchor Rotator Cuff Juggerknot Dbl Load","code_information":[{"code":"51340","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1161,"gross_charge":1269,"discounted_cash":952,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":558}]}]},{"description":"Epinephrine Adult Syringe 0.3mg/0.3ml","code_information":[{"code":"306223","type":"CDM"},{"code":"272","type":"RC"},{"code":"49502010202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":262,"maximum":1160,"gross_charge":1268,"discounted_cash":951,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":558}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Epinephrine Pediatric Syr 0.15mg/0.3ml","code_information":[{"code":"306224","type":"CDM"},{"code":"272","type":"RC"},{"code":"49502010102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":262,"maximum":1160,"gross_charge":1268,"discounted_cash":951,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":558}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"25020 Decomp Fasciotomy Forearm/wrist","code_information":[{"code":"CP17585603283860631","type":"CDM"},{"code":"510","type":"RC"},{"code":"25020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1158,"gross_charge":1266,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"26715 Open Tx Mcp Dislo W/wo Int/ext Fix","code_information":[{"code":"CP17585603283877263","type":"CDM"},{"code":"510","type":"RC"},{"code":"26715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1158,"gross_charge":1266,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"I & D Perirectal Area","code_information":[{"code":"65474","type":"CDM"},{"code":"450","type":"RC"},{"code":"46040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1158,"gross_charge":1266,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 100mm","code_information":[{"code":"48268","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48268","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1158,"gross_charge":1266,"discounted_cash":950,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"Surgical Arthoscopy Shoulder Limited Debridement","code_information":[{"code":"CP17585603283958308","type":"CDM"},{"code":"510","type":"RC"},{"code":"29822","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":262,"maximum":1157,"gross_charge":1265,"discounted_cash":949,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":557}]}]},{"description":"Ortho Icp Monitor Kit","code_information":[{"code":"48994","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":261,"maximum":1157,"gross_charge":1264,"discounted_cash":948,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1157},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":556}]}]},{"description":"Ideal Button Mb Inline Ziploop","code_information":[{"code":"53093","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":261,"maximum":1156,"gross_charge":1263,"discounted_cash":947,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":556}]}]},{"description":"23044 Exploration Of Shoulder","code_information":[{"code":"CP17585603283852997","type":"CDM"},{"code":"510","type":"RC"},{"code":"23044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":261,"maximum":1154,"gross_charge":1261,"discounted_cash":946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":555}]}]},{"description":"Inj Joint/bursa Rt","code_information":[{"code":"850020-RT","type":"CDM"},{"code":"360","type":"RC"},{"code":"20610","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":261,"maximum":1154,"gross_charge":1261,"discounted_cash":946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":555}]}]},{"description":"Inj Joint/bursa Left","code_information":[{"code":"850021-LT","type":"CDM"},{"code":"360","type":"RC"},{"code":"20610","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":261,"maximum":1154,"gross_charge":1261,"discounted_cash":946,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1084},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":555}]}]},{"description":"Mesh Ventralight St 4.5","code_information":[{"code":"52892","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":260,"maximum":1151,"gross_charge":1258,"discounted_cash":944,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":554}]}]},{"description":"Mesh Ventralight St Small 4.3x4.3","code_information":[{"code":"52919","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52919","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":260,"maximum":1151,"gross_charge":1258,"discounted_cash":944,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":554}]}]},{"description":"22900 Exc Abd Wall Tumor, Subfascial","code_information":[{"code":"CP17585603283850756","type":"CDM"},{"code":"510","type":"RC"},{"code":"22900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":260,"maximum":1148,"gross_charge":1255,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":552}]}]},{"description":"11771 Exc Pilonidal Cyst/sinus Extensive","code_information":[{"code":"CP17585603283837660","type":"CDM"},{"code":"510","type":"RC"},{"code":"11771","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1147,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":552}]}]},{"description":"23550 Open Trt Of Ac Dislocation","code_information":[{"code":"CP17585603283868663","type":"CDM"},{"code":"510","type":"RC"},{"code":"23550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1147,"gross_charge":1254,"discounted_cash":941,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":552}]}]},{"description":"26160 Excision Tendon Sheath Lesion Ea","code_information":[{"code":"CP17585603283868387","type":"CDM"},{"code":"510","type":"RC"},{"code":"26160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1145,"gross_charge":1251,"discounted_cash":938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"29880 Knee Arthro, W/men Med+lat W/shav","code_information":[{"code":"CP17585603283891001","type":"CDM"},{"code":"510","type":"RC"},{"code":"29880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1145,"gross_charge":1251,"discounted_cash":938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"Occlusion Of Rt Saphenous Vein, Open Approach","code_information":[{"code":"CP17585603283946007","type":"CDM"},{"code":"510","type":"RC"},{"code":"37761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1145,"gross_charge":1251,"discounted_cash":938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"26418 Extensor Tendon Repair, Finger","code_information":[{"code":"CP17585603283879116","type":"CDM"},{"code":"510","type":"RC"},{"code":"26418","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":259,"maximum":1144,"gross_charge":1250,"discounted_cash":938,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":550}]}]},{"description":"26215 Removal/grft Finger Lesion","code_information":[{"code":"CP17585603283868982","type":"CDM"},{"code":"510","type":"RC"},{"code":"26215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":1141,"gross_charge":1247,"discounted_cash":935,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":549}]}]},{"description":"26445 Tenolysis Ext Tendon Hand/finger","code_information":[{"code":"CP17585603283878037","type":"CDM"},{"code":"510","type":"RC"},{"code":"26445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":1140,"gross_charge":1246,"discounted_cash":935,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":548}]}]},{"description":"Hip Centralizer 13mm Diameter","code_information":[{"code":"48386","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":258,"maximum":1140,"gross_charge":1246,"discounted_cash":935,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":548}]}]},{"description":"Pleurx Drainage Kit 500ml Bottle","code_information":[{"code":"52130","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":1137,"gross_charge":1243,"discounted_cash":932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":547}]}]},{"description":"Screw Periart.locking Conical 2.4mmx18mm","code_information":[{"code":"50559","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50559","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":1137,"gross_charge":1243,"discounted_cash":932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":547}]}]},{"description":"Screw Periart.locking Conical 2.4mmx14mm","code_information":[{"code":"51089","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":1137,"gross_charge":1243,"discounted_cash":932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":547}]}]},{"description":"27630 Exc Lesion Tendon Sheath Leg/ankle","code_information":[{"code":"CP17585603283875424","type":"CDM"},{"code":"510","type":"RC"},{"code":"27630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":257,"maximum":1136,"gross_charge":1242,"discounted_cash":932,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":546}]}]},{"description":"Headless Trocar Drill Pin 75mm","code_information":[{"code":"53081","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":1135,"gross_charge":1240,"discounted_cash":930,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":546}]}]},{"description":"Supplement Left Inguinal Region With Synthetic Substitute","code_information":[{"code":"CP17585603283957548","type":"CDM"},{"code":"510","type":"RC"},{"code":"49651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":1134,"gross_charge":1239,"discounted_cash":929,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":545}]}]},{"description":"Lap Chole Tray & Clip Applier Ethicon","code_information":[{"code":"49753","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":256,"maximum":1131,"gross_charge":1236,"discounted_cash":927,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":544}]}]},{"description":"Dress Surgicel 2x14 Absorb Hemostat","code_information":[{"code":"49485","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":255,"maximum":1130,"gross_charge":1235,"discounted_cash":926,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":543}]}]},{"description":"Amb Or Minor / Proc Rmacuity Level 5","code_information":[{"code":"17205","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":255,"maximum":1129,"gross_charge":1234,"discounted_cash":926,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1061},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":543}]}]},{"description":"Plate Ti 2.0mm Lc-dcp 6 Hole","code_information":[{"code":"50666","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50666","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":255,"maximum":1128,"gross_charge":1233,"discounted_cash":925,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":979},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":543}]}]},{"description":"Cath Picc 5fr Dual Lumen           A4300","code_information":[{"code":"50130","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":255,"maximum":1127,"gross_charge":1232,"discounted_cash":924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"25520 Trt Fx Of Radius","code_information":[{"code":"CP17585603283863407","type":"CDM"},{"code":"510","type":"RC"},{"code":"25520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":255,"maximum":1127,"gross_charge":1232,"discounted_cash":924,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":542}]}]},{"description":"28800 Amputation Foot Midtarsal","code_information":[{"code":"CP17585603283881625","type":"CDM"},{"code":"510","type":"RC"},{"code":"28800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":1124,"gross_charge":1228,"discounted_cash":921,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":540}]}]},{"description":"Im Nail Interlock Screw 6.5mm X 75mm","code_information":[{"code":"48062","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":1122,"gross_charge":1226,"discounted_cash":920,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Im Nail Interlock Screw 6.5mm X 60mm","code_information":[{"code":"48063","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":1122,"gross_charge":1226,"discounted_cash":920,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Im Nail Interlock Screw 6.5mm X 55mm","code_information":[{"code":"48064","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":254,"maximum":1122,"gross_charge":1226,"discounted_cash":920,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"26410 Repair Extensor Tendon,hand Ea","code_information":[{"code":"CP17585603283867825","type":"CDM"},{"code":"510","type":"RC"},{"code":"26410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":1121,"gross_charge":1225,"discounted_cash":919,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"Orthosis Ho Post-op Hip Abduction","code_information":[{"code":"51961","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1686","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":1120,"gross_charge":1224,"discounted_cash":918,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":539}]}]},{"description":"26860 Interphal Jt W W/o Internal Fixati","code_information":[{"code":"CP17585603283873622","type":"CDM"},{"code":"510","type":"RC"},{"code":"26860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":253,"maximum":1119,"gross_charge":1223,"discounted_cash":917,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":538}]}]},{"description":"Ti Tibial Nail End Cap 10mm","code_information":[{"code":"50790","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50790","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":1115,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":536}]}]},{"description":"23066 Bx Soft Tissue Shoulder Deep","code_information":[{"code":"CP17585603283854374","type":"CDM"},{"code":"510","type":"RC"},{"code":"23066","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":1115,"gross_charge":1219,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1048},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":536}]}]},{"description":"Abdomial ultrasound of pregnant uterus","code_information":[{"code":"39555","type":"CDM"},{"code":"402","type":"RC"},{"code":"76805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":252,"maximum":1114,"gross_charge":1218,"discounted_cash":914,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1096},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":536}]}]},{"description":"Pxbiopsy Thyroid, Perc Core Needle","code_information":[{"code":"40003","type":"CDM"},{"code":"761","type":"RC"},{"code":"60100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":1112,"gross_charge":1215,"discounted_cash":911,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":535}]}]},{"description":"Cable Assembly Gtr 1.8mm X 635mm","code_information":[{"code":"50453","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":1110,"gross_charge":1213,"discounted_cash":910,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1092},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":534}]}]},{"description":"Ortho Precision Flx Rmr 10.0mm Disp","code_information":[{"code":"52524","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":1109,"gross_charge":1212,"discounted_cash":909,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"Ortho Precision Flx Rmr 9.0mm Disp","code_information":[{"code":"52566","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52566","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":251,"maximum":1109,"gross_charge":1212,"discounted_cash":909,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1091},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1042},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"28825 Amputation Toe Interphalangeal Jt","code_information":[{"code":"CP17585603283888240","type":"CDM"},{"code":"510","type":"RC"},{"code":"28825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1108,"gross_charge":1211,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":533}]}]},{"description":"Tib/hum Rod Guide Wire 3x1000mm","code_information":[{"code":"48363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1107,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Shaver Blade Gator 3.5mm","code_information":[{"code":"48913","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1107,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Shaver Blade Orbit Full Radius 4.5mm","code_information":[{"code":"48914","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1107,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Shaver Burr 4.0mm Notchblaster","code_information":[{"code":"48922","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1107,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Shaver Burr 4.0mm Oval","code_information":[{"code":"48924","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1107,"gross_charge":1210,"discounted_cash":908,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Cath Trans-tracheal Adult","code_information":[{"code":"50299","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50299","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1106,"gross_charge":1209,"discounted_cash":907,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Cath Trans-tracheal Pedi","code_information":[{"code":"50300","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":250,"maximum":1106,"gross_charge":1209,"discounted_cash":907,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":532}]}]},{"description":"Excision Of Lft Lower Arm And Wrist Tendon,  Open Approach","code_information":[{"code":"CP17585603283918650","type":"CDM"},{"code":"510","type":"RC"},{"code":"24076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1103,"gross_charge":1206,"discounted_cash":905,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":531}]}]},{"description":"27825 Closed Treat Of Fract Dist Tib","code_information":[{"code":"CP17585603283888191","type":"CDM"},{"code":"510","type":"RC"},{"code":"27825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1103,"gross_charge":1205,"discounted_cash":904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":530}]}]},{"description":"Removal of one knee cartilage using an endoscope","code_information":[{"code":"CP17585603283953209","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29881","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1103,"gross_charge":1205,"discounted_cash":904,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":530}]}]},{"description":"25605 Cl Tx Fx Distal Rad/ulna W Manip","code_information":[{"code":"CP17585603283862240","type":"CDM"},{"code":"510","type":"RC"},{"code":"25605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1101,"gross_charge":1203,"discounted_cash":902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":529}]}]},{"description":"28285 Correction, Hammertoe","code_information":[{"code":"CP17585603283888599","type":"CDM"},{"code":"510","type":"RC"},{"code":"28285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1101,"gross_charge":1203,"discounted_cash":902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1035},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":529}]}]},{"description":"Plate 3.5mm Scp Forearm 10 Hole","code_information":[{"code":"48650","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":249,"maximum":1100,"gross_charge":1202,"discounted_cash":902,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":529}]}]},{"description":"23076 Exc Soft Tiss Shoulder Lesion Deep","code_information":[{"code":"CP17585603283853110","type":"CDM"},{"code":"510","type":"RC"},{"code":"23076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":248,"maximum":1097,"gross_charge":1199,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":528}]}]},{"description":"27496 Decompress Fasciotomy Thigh/knee","code_information":[{"code":"CP17585603283873758","type":"CDM"},{"code":"510","type":"RC"},{"code":"27496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":248,"maximum":1097,"gross_charge":1199,"discounted_cash":899,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1097},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1079},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1031},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":528}]}]},{"description":"Locking Screw Tap Percutaneous 3.5mm","code_information":[{"code":"52723","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52723","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":1094,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":526}]}]},{"description":"29874 Knee Arthro, Surg Rem Of Loose/fb","code_information":[{"code":"CP17585603283893686","type":"CDM"},{"code":"510","type":"RC"},{"code":"29874","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":247,"maximum":1094,"gross_charge":1196,"discounted_cash":897,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1006},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1094},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1076},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":526}]}]},{"description":"Hto Screw 4.5mm X 54mm","code_information":[{"code":"48069","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Hto Screw 4.5mm X 50mm","code_information":[{"code":"48070","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Hto Screw 4.5mm X 46mm","code_information":[{"code":"48071","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Hto Screw 4.5mm X 44mm","code_information":[{"code":"48072","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48072","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Hto Screw 4.5mm X 40mm","code_information":[{"code":"48081","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Hto Screw 4.5mm X 48mm","code_information":[{"code":"48082","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Shaver Blade Orbit Incisor 4.5mm","code_information":[{"code":"48911","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Cath Swan Ganz Pace Port 7.5fr     A4300","code_information":[{"code":"49758","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49758","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1090,"gross_charge":1191,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1090},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1024},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Endscp Biovac Suction W/irrig Line","code_information":[{"code":"50337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1089,"gross_charge":1190,"discounted_cash":893,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1089},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":524}]}]},{"description":"Cath Intravascular 20g X 2-1/4  Accucath","code_information":[{"code":"52262","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1088,"gross_charge":1189,"discounted_cash":892,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"Cath Intravascular 22g X 2-1/4  Accucath","code_information":[{"code":"52263","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52263","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1088,"gross_charge":1189,"discounted_cash":892,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1088},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"26034 Treat Hand Bone Lesion","code_information":[{"code":"CP17585603283866407","type":"CDM"},{"code":"510","type":"RC"},{"code":"26034","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":246,"maximum":1087,"gross_charge":1188,"discounted_cash":891,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1087},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1069},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":523}]}]},{"description":"Intramedullary Plug 13mm","code_information":[{"code":"48492","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1086,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"27752 Closed-tibiashaft Fract W/manip","code_information":[{"code":"CP17585603283880323","type":"CDM"},{"code":"510","type":"RC"},{"code":"27752","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1086,"gross_charge":1187,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1086},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1068},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg  2 Hole","code_information":[{"code":"48202","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg  2 Hole","code_information":[{"code":"48203","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg  4 Hole","code_information":[{"code":"48213","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 135deg  5 Hole","code_information":[{"code":"48216","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg  5 Hole","code_information":[{"code":"48217","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg  5 Hole","code_information":[{"code":"48218","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 140deg  6 Hole","code_information":[{"code":"48222","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Std.barrel 145deg  6 Hole","code_information":[{"code":"48223","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Dhs Sht.barrel 135deg  4 Hole","code_information":[{"code":"48251","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48251","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Chs Sht.barrel 130deg  5 Hole","code_information":[{"code":"48253","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48253","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Chs Sht.barrel 135deg  5 Hole","code_information":[{"code":"48254","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48254","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Chs Sht.barrel 140deg  5 Hole","code_information":[{"code":"48255","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Chs Sht.barrel 145deg  5 Hole","code_information":[{"code":"48256","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48256","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate Ss Chs Sht.barrel 150deg  5 Hole","code_information":[{"code":"48257","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48257","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Wire Set (Implant)","code_information":[{"code":"48102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"Plate 3.5mm Scp Forearm  6 Hole","code_information":[{"code":"48647","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1085,"gross_charge":1186,"discounted_cash":890,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1085},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":522}]}]},{"description":"23140 Exc/cure Bone Cyst/tumor Clav/scap","code_information":[{"code":"CP17585603283859557","type":"CDM"},{"code":"510","type":"RC"},{"code":"23140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1083,"gross_charge":1184,"discounted_cash":888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"32556 Insert Cath Pleura W/o Image","code_information":[{"code":"CP17585603283892372","type":"CDM"},{"code":"510","type":"RC"},{"code":"32556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1083,"gross_charge":1184,"discounted_cash":888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Repair Tun/non Tunnel Ven Acc Cath Wo Po","code_information":[{"code":"17503","type":"CDM"},{"code":"761","type":"RC"},{"code":"36575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1083,"gross_charge":1184,"discounted_cash":888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Remove Tun Central Vad W Port/pump, Picc","code_information":[{"code":"17506","type":"CDM"},{"code":"761","type":"RC"},{"code":"36590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1083,"gross_charge":1184,"discounted_cash":888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Tray Picc Cath 4fr Sngl Lumen Groshong","code_information":[{"code":"52203","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1083,"gross_charge":1184,"discounted_cash":888,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1083},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1018},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"Tube Jejunostomy Vivonex (B4084)","code_information":[{"code":"49793","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":245,"maximum":1082,"gross_charge":1183,"discounted_cash":887,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1082},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1065},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":521}]}]},{"description":"46040 I&d Ischio/perirectal Abscess","code_information":[{"code":"CP17585603283901925","type":"CDM"},{"code":"510","type":"RC"},{"code":"46040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1080,"gross_charge":1180,"discounted_cash":885,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":519}]}]},{"description":"Exc Forearm Tum Deep 3cm>","code_information":[{"code":"CP17585603283914520","type":"CDM"},{"code":"510","type":"RC"},{"code":"25073","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1080,"gross_charge":1180,"discounted_cash":885,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1080},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1015},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":519}]}]},{"description":"Screw Cortical 2.4mm X 10mm","code_information":[{"code":"51313","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51313","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 12mm","code_information":[{"code":"51314","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 13mm","code_information":[{"code":"51315","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 14mm","code_information":[{"code":"51316","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 15mm","code_information":[{"code":"51317","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 16mm","code_information":[{"code":"51318","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 18mm","code_information":[{"code":"51319","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 20mm","code_information":[{"code":"51320","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 22mm","code_information":[{"code":"51321","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 24mm","code_information":[{"code":"51322","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 26mm","code_information":[{"code":"51323","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 28mm","code_information":[{"code":"51324","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 30mm","code_information":[{"code":"51325","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"Screw Cortical 2.4mm X 11mm","code_information":[{"code":"51326","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":244,"maximum":1078,"gross_charge":1178,"discounted_cash":884,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1078},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1060},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":518}]}]},{"description":"28080 Exc Interdigital Neuroma Single Ea","code_information":[{"code":"CP17585603283886163","type":"CDM"},{"code":"510","type":"RC"},{"code":"28080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":1075,"gross_charge":1175,"discounted_cash":881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1075},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1058},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":517}]}]},{"description":"27347 Removal Knee Cyst","code_information":[{"code":"CP17585603283879318","type":"CDM"},{"code":"510","type":"RC"},{"code":"27347","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":1074,"gross_charge":1174,"discounted_cash":881,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":987},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1074},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":517}]}]},{"description":"Stapler Ligaclip Multifeed Large  10mm","code_information":[{"code":"50211","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":243,"maximum":1073,"gross_charge":1173,"discounted_cash":880,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1073},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":516}]}]},{"description":"24120 Removal Elbow Lesion","code_information":[{"code":"CP17585603283863864","type":"CDM"},{"code":"510","type":"RC"},{"code":"24120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":1072,"gross_charge":1172,"discounted_cash":879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":516}]}]},{"description":"25671 Percut Fix Distal Radioulnar Dislo","code_information":[{"code":"CP17585603283869756","type":"CDM"},{"code":"510","type":"RC"},{"code":"25671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":1072,"gross_charge":1172,"discounted_cash":879,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1072},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":516}]}]},{"description":"Bone Substrate Mixing System Accumix","code_information":[{"code":"48940","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":1071,"gross_charge":1171,"discounted_cash":878,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1071},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":515}]}]},{"description":"Heangioma Of Skin And Subcutaneious Tissue","code_information":[{"code":"CP17585603283919189","type":"CDM"},{"code":"510","type":"RC"},{"code":"26116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":1070,"gross_charge":1169,"discounted_cash":877,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":514}]}]},{"description":"Hemorrhoidectomy Int & Amp Ext, Complex /Extensive","code_information":[{"code":"CP17585603283923389","type":"CDM"},{"code":"510","type":"RC"},{"code":"46261","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":242,"maximum":1070,"gross_charge":1169,"discounted_cash":877,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1070},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1052},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":514}]}]},{"description":"Plate 3.5mm Scp Forearm  9 Hole","code_information":[{"code":"48638","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":241,"maximum":1067,"gross_charge":1166,"discounted_cash":875,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1067},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":513}]}]},{"description":"20245 Biopsy, Bone Open; Deep","code_information":[{"code":"CP17585603283830486","type":"CDM"},{"code":"510","type":"RC"},{"code":"20245","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":241,"maximum":1066,"gross_charge":1165,"discounted_cash":874,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1066},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1049},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":513}]}]},{"description":"29873 Knee Arthroscopy Surg W Latel Rel","code_information":[{"code":"CP17585603283898224","type":"CDM"},{"code":"510","type":"RC"},{"code":"29873","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":241,"maximum":1064,"gross_charge":1163,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1064},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1000},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":512}]}]},{"description":"Us Ext-r Ven Doppler","code_information":[{"code":"39291-RT","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":240,"maximum":1063,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Us Ext-l Ven Doppler","code_information":[{"code":"39293-LT","type":"CDM"},{"code":"921","type":"RC"},{"code":"93971","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":240,"maximum":1063,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Rr-erythropoetin Inj. 10,000 Units/ml","code_information":[{"code":"304021","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":240,"maximum":1063,"gross_charge":1162,"discounted_cash":872,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1063},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":999},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":511}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27508 Cl Tx Femoral Fx Distal Wo Manip","code_information":[{"code":"CP17585603283878096","type":"CDM"},{"code":"510","type":"RC"},{"code":"27508","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":240,"maximum":1062,"gross_charge":1161,"discounted_cash":871,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Repair of groin hernia patient age 5 years or older","code_information":[{"code":"CP17585603283901497","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"49505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":240,"maximum":1062,"gross_charge":1161,"discounted_cash":871,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1062},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":998},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":511}]}]},{"description":"Zz Gardasil Vaccine 0.5ml","code_information":[{"code":"304190","type":"CDM"},{"code":"636","type":"RC"},{"code":"90732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":1059,"gross_charge":1157,"discounted_cash":868,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":509}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"38510 Bx/removal Lymph Nodes","code_information":[{"code":"CP17585603283897527","type":"CDM"},{"code":"510","type":"RC"},{"code":"38510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":1059,"gross_charge":1157,"discounted_cash":868,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":509}]}]},{"description":"Debridement, Soft Tissue And/or Bone","code_information":[{"code":"CP17585603283915515","type":"CDM"},{"code":"510","type":"RC"},{"code":"24358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":1059,"gross_charge":1157,"discounted_cash":868,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1059},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1041},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":509}]}]},{"description":"Anchor Rotator Cuff Abs W/sut & Dilator","code_information":[{"code":"50502","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":1057,"gross_charge":1155,"discounted_cash":866,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1057},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":508}]}]},{"description":".Ntkr Rna Fusion Analysisdcpa","code_information":[{"code":"22024","type":"CDM"},{"code":"310","type":"RC"},{"code":"81194","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":239,"maximum":1056,"gross_charge":1154,"discounted_cash":866,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1056},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":508}]}]},{"description":"Airway Lma Fastrach Et Tube 7.0","code_information":[{"code":"52007","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":1055,"gross_charge":1153,"discounted_cash":865,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":507}]}]},{"description":"Airway Lma Fastrach Et Tube 7.5","code_information":[{"code":"52008","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":1055,"gross_charge":1153,"discounted_cash":865,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1055},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1038},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":507}]}]},{"description":"25028 I&d Forearm/wrist Deep Absc/hemat","code_information":[{"code":"CP17585603283864466","type":"CDM"},{"code":"510","type":"RC"},{"code":"25028","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":1054,"gross_charge":1152,"discounted_cash":864,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1054},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":507}]}]},{"description":"Hto L-plate Right","code_information":[{"code":"48067","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":1053,"gross_charge":1151,"discounted_cash":863,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1053},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":506}]}]},{"description":"49572 Rpr Epigastric Hernia Incar/strang","code_information":[{"code":"CP17585603283906913","type":"CDM"},{"code":"510","type":"RC"},{"code":"49572","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":238,"maximum":1051,"gross_charge":1149,"discounted_cash":862,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1051},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":506}]}]},{"description":"25565 Closed-fract Radius & Ulna W/man","code_information":[{"code":"CP17585603283861703","type":"CDM"},{"code":"510","type":"RC"},{"code":"25565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":1047,"gross_charge":1144,"discounted_cash":858,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"29871 Knee Arthro, Surg Infecttion Drain","code_information":[{"code":"CP17585603283896542","type":"CDM"},{"code":"510","type":"RC"},{"code":"29871","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":237,"maximum":1047,"gross_charge":1144,"discounted_cash":858,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":962},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1047},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1030},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Plate Ss Chs Sht.barrel 130deg  4 Hole","code_information":[{"code":"48250","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1046,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Plate Ss Dhs Sht.barrel 150deg  4 Hole","code_information":[{"code":"48252","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48252","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1046,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Plate Ss Chs Sht.barrel 140deg  4 Hole","code_information":[{"code":"48258","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48258","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1046,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Plate Ss Chs Sht.barrel 145deg  4 Hole","code_information":[{"code":"48259","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1046,"gross_charge":1143,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1046},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":503}]}]},{"description":"Tray Dialysis Cath 12fr 2 Lumen","code_information":[{"code":"50283","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50283","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1045,"gross_charge":1142,"discounted_cash":857,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1045},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"28755 Arthrodesis, G-toe Interpharl Jnt","code_information":[{"code":"CP17585603283883615","type":"CDM"},{"code":"510","type":"RC"},{"code":"28755","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Lap Mesh Tacker Device","code_information":[{"code":"50170","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Lap Mesh Tacker Device Absorbatack","code_information":[{"code":"52440","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52440","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Screw Periart.locking 2.4mm X 12mm","code_information":[{"code":"50517","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50517","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Screw Periart.locking 2.4mm X 28mm","code_information":[{"code":"50555","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50555","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Screw Periart.locking 2.4mm X  8mm","code_information":[{"code":"51020","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1044,"gross_charge":1141,"discounted_cash":856,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1044},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1027},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Screw Periart.locking 2.4mm X 26mm","code_information":[{"code":"50525","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1043,"gross_charge":1140,"discounted_cash":855,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Bone Survey Complete","code_information":[{"code":"39102","type":"CDM"},{"code":"320","type":"RC"},{"code":"77075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":236,"maximum":1043,"gross_charge":1140,"discounted_cash":855,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1043},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":502}]}]},{"description":"Tube Jejunostomy Barone 10 Fr    (B4086)","code_information":[{"code":"49792","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1040,"gross_charge":1137,"discounted_cash":853,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1040},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1023},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Lap Suture Endostitch Reload Polysorb","code_information":[{"code":"52172","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52172","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1039,"gross_charge":1136,"discounted_cash":852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"11646 Exc Malig Lesion Feenl Over 4cm","code_information":[{"code":"CP17585600566592922","type":"CDM"},{"code":"521","type":"RC"},{"code":"11646","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1039,"gross_charge":1136,"discounted_cash":852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"11646 Exc Malig Lesion Feenl Over 4cm","code_information":[{"code":"CP17585603283830095","type":"CDM"},{"code":"510","type":"RC"},{"code":"11646","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1039,"gross_charge":1136,"discounted_cash":852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"29897 Ankle Arthro, W/lim Debridement","code_information":[{"code":"CP17585603283897448","type":"CDM"},{"code":"510","type":"RC"},{"code":"29897","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1039,"gross_charge":1136,"discounted_cash":852,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":977},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":500}]}]},{"description":"Gel-one","code_information":[{"code":"CP17585603283916538","type":"CDM"},{"code":"510","type":"RC"},{"code":"J7326","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":235,"maximum":1039,"gross_charge":1135,"discounted_cash":851,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":955},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1039},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Plate Scp Narrow  6 Hole","code_information":[{"code":"48682","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Plate Scp Narrow  7 Hole","code_information":[{"code":"48683","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Plate Scp Narrow  8 Hole","code_information":[{"code":"48684","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48684","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Plate Scp Narrow  9 Hole","code_information":[{"code":"48685","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Ultrasound of abdomen","code_information":[{"code":"39078","type":"CDM"},{"code":"402","type":"RC"},{"code":"76700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  65mm","code_information":[{"code":"48272","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48272","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  70mm","code_information":[{"code":"48273","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48273","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  65mm Zmr","code_information":[{"code":"51211","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  70mm Zmr","code_information":[{"code":"51212","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  75mm Zmr","code_information":[{"code":"51213","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  80mm Zmr","code_information":[{"code":"51214","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  85mm Zmr","code_information":[{"code":"51215","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  95mm Zmr","code_information":[{"code":"51217","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 100mm Zmr","code_information":[{"code":"51218","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 105mm Zmr","code_information":[{"code":"51219","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 110mm Zmr","code_information":[{"code":"51220","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm 115mm Zmr","code_information":[{"code":"51221","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  95mm Zmr","code_information":[{"code":"52304","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"Screw Ss Dhs/dcs Lag 12.7mm  80mm Zmr","code_information":[{"code":"52328","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1037,"gross_charge":1133,"discounted_cash":850,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1037},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1020},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":499}]}]},{"description":"26145 Synovectomy Tendon Sheath Palm/fin","code_information":[{"code":"CP17585603283863823","type":"CDM"},{"code":"510","type":"RC"},{"code":"26145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1036,"gross_charge":1132,"discounted_cash":849,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1036},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":498}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 10mm","code_information":[{"code":"50644","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50644","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1034,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 12mm","code_information":[{"code":"50646","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50646","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1034,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 13mm","code_information":[{"code":"50647","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1034,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 14mm","code_information":[{"code":"50648","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1034,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Amb Or Minor / Proc Rmacuity Level 4","code_information":[{"code":"17204","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":234,"maximum":1034,"gross_charge":1130,"discounted_cash":848,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":897},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1034},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1017},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Lap Inst Disp Tripolar Forceps 10mm","code_information":[{"code":"49750","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":1033,"gross_charge":1129,"discounted_cash":847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Vasopressin Vial 20units/ml","code_information":[{"code":"301389","type":"CDM"},{"code":"250","type":"RC"},{"code":"70121164201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":233,"maximum":1033,"gross_charge":1129,"discounted_cash":847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}],"drug_information":{"unit":20,"type":"UN"}},{"description":"45384 Colonoscopy Removal By Hot Biopsy","code_information":[{"code":"CP17585603283906604","type":"CDM"},{"code":"510","type":"RC"},{"code":"45384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":1033,"gross_charge":1129,"discounted_cash":847,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1033},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1016},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":971},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":497}]}]},{"description":"Hip Bone Screw 6.5mm 25mm","code_information":[{"code":"48388","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48388","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":1029,"gross_charge":1125,"discounted_cash":844,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Hip Bone Screw 6.5mm 30mm","code_information":[{"code":"48389","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48389","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":233,"maximum":1029,"gross_charge":1125,"discounted_cash":844,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1029},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"Splint Plantar Fascitis Splintmedium","code_information":[{"code":"50248","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50248","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1028,"gross_charge":1124,"discounted_cash":843,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1012},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":495}]}]},{"description":"29894 Ankle Arthro, Surg W Remov/fb","code_information":[{"code":"CP17585603283896365","type":"CDM"},{"code":"510","type":"RC"},{"code":"29894","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1028,"gross_charge":1123,"discounted_cash":842,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1028},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":494}]}]},{"description":"Glide Scope Blade Spectrum Su Lopro S3","code_information":[{"code":"52912","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glide Scope Blade Spectrum Su Lopro S4","code_information":[{"code":"52913","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glidescope Direct View Disp Blades Macs3","code_information":[{"code":"52916","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52916","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glidescope Direct View Disp Blades Macs4","code_information":[{"code":"52917","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glide Scope Blade Spectrum Su Lopro S1","code_information":[{"code":"52923","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glide Scope Blade Spectrum Su Lopro S2","code_information":[{"code":"52924","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glidescope Disp Blade Miller S0","code_information":[{"code":"52989","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"Glidescope Disp Blade Miller S1","code_information":[{"code":"52990","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1026,"gross_charge":1121,"discounted_cash":841,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1026},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"46270 Surgical Tx Of Anal Fistula Subcut","code_information":[{"code":"CP17585603283909999","type":"CDM"},{"code":"510","type":"RC"},{"code":"46270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":232,"maximum":1025,"gross_charge":1120,"discounted_cash":840,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1025},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":493}]}]},{"description":"46255 Hemorrhoidectomy Int/ext Simple","code_information":[{"code":"CP17585603283901436","type":"CDM"},{"code":"510","type":"RC"},{"code":"46255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":231,"maximum":1022,"gross_charge":1117,"discounted_cash":838,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1022},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":491}]}]},{"description":"28045 Foot Tum Exc Sub Or Ten Sheath","code_information":[{"code":"CP17585603283887600","type":"CDM"},{"code":"510","type":"RC"},{"code":"28045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":231,"maximum":1021,"gross_charge":1116,"discounted_cash":837,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1021},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1004},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":491}]}]},{"description":"13152 Rpr Complex Enel 2.6-7.5cm","code_information":[{"code":"CP17585603283833085","type":"CDM"},{"code":"510","type":"RC"},{"code":"13152","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":230,"maximum":1019,"gross_charge":1114,"discounted_cash":836,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":490}]}]},{"description":"27501 Closed-supra/trans Fem Fract Wo/ma","code_information":[{"code":"CP17585603283879875","type":"CDM"},{"code":"510","type":"RC"},{"code":"27501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":230,"maximum":1019,"gross_charge":1114,"discounted_cash":836,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1019},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1003},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":490}]}]},{"description":"24101 Arthrotomy Elbow W Explor, Bx, Fb","code_information":[{"code":"CP17585603283861582","type":"CDM"},{"code":"510","type":"RC"},{"code":"24101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1014,"gross_charge":1108,"discounted_cash":831,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1014},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":997},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":488}]}]},{"description":"Lap Trocar Disp 12mm 100mm Cannula","code_information":[{"code":"49234","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1013,"gross_charge":1107,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"Lap Trocar Disp Bladeless 10/12mm 100mm","code_information":[{"code":"50344","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1013,"gross_charge":1107,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"Lap Trocar Disp 12mm 100mm Cannula Optiv","code_information":[{"code":"52177","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1013,"gross_charge":1107,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"25505 Treat Fracture Of Radius","code_information":[{"code":"CP17585603283867658","type":"CDM"},{"code":"510","type":"RC"},{"code":"25505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1013,"gross_charge":1107,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"26765 Open Tx Dist Phalangeal Fx","code_information":[{"code":"CP17585603283873998","type":"CDM"},{"code":"510","type":"RC"},{"code":"26765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1013,"gross_charge":1107,"discounted_cash":830,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1013},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":487}]}]},{"description":"Tube Endo Combitube 37fr Sml Adult","code_information":[{"code":"49069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1011,"gross_charge":1105,"discounted_cash":829,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"Tube Endo Combitube 41fr Lrg Adult","code_information":[{"code":"49070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":229,"maximum":1011,"gross_charge":1105,"discounted_cash":829,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1011},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"1.6mm Standard Drill Tip Guide Wire 5 Bx","code_information":[{"code":"52639","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52639","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"Guide Pin Periart. 1.6mm","code_information":[{"code":"52646","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52646","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"1.6mm Standard Drill Tip Guide Wire Sing","code_information":[{"code":"52675","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52675","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"Guide Pin Periart. 1.6mm X 6  Partial Th","code_information":[{"code":"52995","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"26676 Pin Hand Dislocation","code_information":[{"code":"CP17585603283873444","type":"CDM"},{"code":"510","type":"RC"},{"code":"26676","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"64708 Revise Arm/leg Nerve","code_information":[{"code":"CP17585603283906941","type":"CDM"},{"code":"510","type":"RC"},{"code":"64708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1010,"gross_charge":1104,"discounted_cash":828,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1010},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":994},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":486}]}]},{"description":"26115 Exc Tumor Of Hand/finger Subcut","code_information":[{"code":"CP17585603283865399","type":"CDM"},{"code":"510","type":"RC"},{"code":"26115","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1009,"gross_charge":1103,"discounted_cash":827,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"27602 Decom Fasc, Leg; Ant A/o Lat & Pos","code_information":[{"code":"CP17585603283877982","type":"CDM"},{"code":"510","type":"RC"},{"code":"27602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1009,"gross_charge":1103,"discounted_cash":827,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1009},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":993},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"Rho(d) Immune Globulin 300mcg Syringe","code_information":[{"code":"311134","type":"CDM"},{"code":"636","type":"RC"},{"code":"44206030001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":228,"maximum":1008,"gross_charge":1102,"discounted_cash":827,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":485}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"29875 Knee Arthro, Surg Synovectomy Lim","code_information":[{"code":"CP17585603283893461","type":"CDM"},{"code":"510","type":"RC"},{"code":"29875","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":228,"maximum":1008,"gross_charge":1102,"discounted_cash":827,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1008},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":485}]}]},{"description":"27842 Cl Tx Ankle Disloc W Anes W/wo Fix","code_information":[{"code":"CP17585603283882017","type":"CDM"},{"code":"510","type":"RC"},{"code":"27842","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1007,"gross_charge":1100,"discounted_cash":825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":484}]}]},{"description":"Excision Of Rt Radius, Open Approach","code_information":[{"code":"CP17585603283915521","type":"CDM"},{"code":"510","type":"RC"},{"code":"25120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1007,"gross_charge":1100,"discounted_cash":825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":484}]}]},{"description":"Lap Cystic Duct Cath 4.5fr","code_information":[{"code":"49083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1007,"gross_charge":1100,"discounted_cash":825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":484}]}]},{"description":"Cath Swan Ganz Pacing 5fr          A4300","code_information":[{"code":"49193","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49193","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1007,"gross_charge":1100,"discounted_cash":825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":484}]}]},{"description":"Plate Ti 3.5mm Recon.  9 Hole","code_information":[{"code":"50787","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1007,"gross_charge":1100,"discounted_cash":825,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1007},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":946},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":484}]}]},{"description":"Endscp M-catch Retrieval Net","code_information":[{"code":"53209","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1005,"gross_charge":1098,"discounted_cash":824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":483}]}]},{"description":"24505 Closed-humerus Shaft Fract W/man","code_information":[{"code":"CP17585603283866966","type":"CDM"},{"code":"510","type":"RC"},{"code":"24505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":227,"maximum":1005,"gross_charge":1098,"discounted_cash":824,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1005},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":483}]}]},{"description":"Arthro Acl Reconstruction Kit","code_information":[{"code":"48905","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":226,"maximum":1002,"gross_charge":1095,"discounted_cash":821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1002},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":482}]}]},{"description":"43251 Ugi Endo; Removal By Snare Techn","code_information":[{"code":"CP17585603283894183","type":"CDM"},{"code":"510","type":"RC"},{"code":"43251","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":226,"maximum":1001,"gross_charge":1094,"discounted_cash":821,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1001},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":481}]}]},{"description":"Screw Canc.6.5mm 75mm","code_information":[{"code":"48040","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":996,"gross_charge":1089,"discounted_cash":817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":479}]}]},{"description":"Excision Of Right Saphenous Vein, Open Approach","code_information":[{"code":"CP17585603283910060","type":"CDM"},{"code":"510","type":"RC"},{"code":"37722","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":996,"gross_charge":1089,"discounted_cash":817,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":996},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":479}]}]},{"description":"Plate Ss Chs Std.barrel 130deg  3 Hole","code_information":[{"code":"48205","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":995,"gross_charge":1087,"discounted_cash":815,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Plate Ss Chs Std.barrel 135deg  3 Hole","code_information":[{"code":"48206","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":995,"gross_charge":1087,"discounted_cash":815,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Plate Ss Chs Std.barrel 140deg  3 Hole","code_information":[{"code":"48207","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":995,"gross_charge":1087,"discounted_cash":815,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Plate Ss Chs Std.barrel 145deg  3 Hole","code_information":[{"code":"48208","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":995,"gross_charge":1087,"discounted_cash":815,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Plate Ss Chs Std.barrel 150deg  3 Hole","code_information":[{"code":"48209","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":225,"maximum":995,"gross_charge":1087,"discounted_cash":815,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":995},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":978},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":478}]}]},{"description":"Needle Nerve Stim 22gx 2  50 30deg Bevel","code_information":[{"code":"52939","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52939","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":992,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Needle Nerve Stim 22gx3-1/8  30deg Bevel","code_information":[{"code":"52940","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":992,"gross_charge":1084,"discounted_cash":813,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":992},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":976},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"25270 Repair, Tend/musc, Ext Fore/wrist","code_information":[{"code":"CP17585603283868383","type":"CDM"},{"code":"510","type":"RC"},{"code":"25270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":991,"gross_charge":1083,"discounted_cash":812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":991},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":975},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":477}]}]},{"description":"Removal of polyps or growths of large bowel using an endoscope","code_information":[{"code":"CP17585603283956926","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":990,"gross_charge":1082,"discounted_cash":812,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":990},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":476}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  185mm 14h","code_information":[{"code":"52713","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52713","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":224,"maximum":989,"gross_charge":1081,"discounted_cash":811,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":989},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":476}]}]},{"description":"Resection Of Rt Carpal, Open Approach","code_information":[{"code":"CP17585603283957351","type":"CDM"},{"code":"510","type":"RC"},{"code":"25210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":988,"gross_charge":1080,"discounted_cash":810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":475}]}]},{"description":"Shaver Blade Full Radius 4.5mm","code_information":[{"code":"48920","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":988,"gross_charge":1080,"discounted_cash":810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":475}]}]},{"description":"Shaver Blade Turbowhisker 2.0mm","code_information":[{"code":"48963","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":988,"gross_charge":1080,"discounted_cash":810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":475}]}]},{"description":"Shaver Blade Turbowhisker 2.9mm","code_information":[{"code":"48964","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":988,"gross_charge":1080,"discounted_cash":810,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":988},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":972},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":475}]}]},{"description":"11010 Debride Skin/fx","code_information":[{"code":"CP17585600566571331","type":"CDM"},{"code":"521","type":"RC"},{"code":"11010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":986,"gross_charge":1078,"discounted_cash":809,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":474}]}]},{"description":"11010 Debride Skin/fx","code_information":[{"code":"CP17585603283832136","type":"CDM"},{"code":"510","type":"RC"},{"code":"11010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":986,"gross_charge":1078,"discounted_cash":809,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":986},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":927},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":474}]}]},{"description":"24075 Excision Soft Tumor Arm/elbow Les","code_information":[{"code":"CP17585603283868060","type":"CDM"},{"code":"510","type":"RC"},{"code":"24075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":985,"gross_charge":1077,"discounted_cash":808,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":855},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":474}]}]},{"description":"Bone Matrix Putty 1cc Puros","code_information":[{"code":"51997","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":223,"maximum":985,"gross_charge":1076,"discounted_cash":807,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":985},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"Cable Forebone Plate","code_information":[{"code":"50448","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50448","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":984,"gross_charge":1075,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":984},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"28124 Partial Removal Toe","code_information":[{"code":"CP17585603283883672","type":"CDM"},{"code":"510","type":"RC"},{"code":"28124","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":983,"gross_charge":1074,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"Plate Ti 3.5mm Recon.  8 Hole","code_information":[{"code":"50786","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":983,"gross_charge":1074,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"Ortho Radial Spray  Tip","code_information":[{"code":"52548","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52548","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":983,"gross_charge":1074,"discounted_cash":806,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":983},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":967},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":473}]}]},{"description":"29895 Ankle Arthro, W/partial Synovctomy","code_information":[{"code":"CP17585603283898032","type":"CDM"},{"code":"510","type":"RC"},{"code":"29895","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":982,"gross_charge":1073,"discounted_cash":805,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Wound Vac Granufoam Ag Dress Lrg","code_information":[{"code":"52192","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP52192","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":982,"gross_charge":1073,"discounted_cash":805,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":982},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Excision Skin, Amp, Subq Tissue, Inguinal With Complex Repair","code_information":[{"code":"CP17585603283914084","type":"CDM"},{"code":"510","type":"RC"},{"code":"11463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Small Pin 3.0mm X 80mm X 20mm","code_information":[{"code":"51335","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 3.0mm X 120mm X 25mm","code_information":[{"code":"51336","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 2.5mm X 80mm X 20mm","code_information":[{"code":"51337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 4.0 Mm X 120mm X 25mm","code_information":[{"code":"52272","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52272","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 3.0 Mm X 80mm X 20mm","code_information":[{"code":"52274","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52274","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 4.0 Mm X 80mm X 20mm, 3","code_information":[{"code":"52277","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Screw Lag, 12.7mm Dia X 90mm","code_information":[{"code":"52281","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52281","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 2.5mm X 120mm X 25mm","code_information":[{"code":"52284","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52284","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Xtrafix Half Pin 4.0 Mm X 80mm X 20mm, 3","code_information":[{"code":"52285","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52285","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Screw Lag, 12.7mm Dia X 85mm","code_information":[{"code":"52286","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52286","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Screw Lag, 12.7mm Dia X 95mm","code_information":[{"code":"52287","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52287","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Screw Lag, 12.7mm Dia X 105mm","code_information":[{"code":"52288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Vacuum Cement Mixing System","code_information":[{"code":"52299","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52299","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Palacos R+g 1x40 Single W/gentamicin","code_information":[{"code":"52300","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Cement Prep Kit  Bone Femoral","code_information":[{"code":"52404","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":222,"maximum":981,"gross_charge":1072,"discounted_cash":804,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":981},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":965},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":472}]}]},{"description":"Ortho Navitracker Kit A  Knee","code_information":[{"code":"53072","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53072","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":221,"maximum":980,"gross_charge":1071,"discounted_cash":803,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":980},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":471}]}]},{"description":"27345 Exc Syn Cyst, Popliteal (Knee)","code_information":[{"code":"CP17585603283873269","type":"CDM"},{"code":"510","type":"RC"},{"code":"27345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":974,"gross_charge":1065,"discounted_cash":799,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"27695 Repr Ankle Ligament","code_information":[{"code":"CP17585603283882746","type":"CDM"},{"code":"510","type":"RC"},{"code":"27695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":974,"gross_charge":1065,"discounted_cash":799,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":959},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":469}]}]},{"description":"Cath Picc 3fr Single Lumen         A4300","code_information":[{"code":"50127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":974,"gross_charge":1064,"discounted_cash":798,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":974},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":958},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":468}]}]},{"description":"Incision & Amp Drainage, Ischiorectal/intramural","code_information":[{"code":"CP17585600566677998","type":"CDM"},{"code":"521","type":"RC"},{"code":"46060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":973,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":468}]}]},{"description":"28208 Rpr Tendon Extensor Foot P/s Each","code_information":[{"code":"CP17585603283880038","type":"CDM"},{"code":"510","type":"RC"},{"code":"28208","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":973,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":468}]}]},{"description":"Incision & Amp Drainage, Ischiorectal/intramural","code_information":[{"code":"CP17585603283947399","type":"CDM"},{"code":"510","type":"RC"},{"code":"46060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":220,"maximum":973,"gross_charge":1063,"discounted_cash":797,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":973},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":468}]}]},{"description":"28192 Removal Foot Foreign Body-deep","code_information":[{"code":"CP17585603283887469","type":"CDM"},{"code":"510","type":"RC"},{"code":"28192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":970,"gross_charge":1060,"discounted_cash":795,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":970},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":954},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":912},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"43760 Change Gastrostomy Tube Wo Fluo","code_information":[{"code":"CP17585603283892330","type":"CDM"},{"code":"510","type":"RC"},{"code":"43760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":969,"gross_charge":1059,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"49587 Rpr Umb Hernia Incar/strangulated","code_information":[{"code":"CP17585603283906879","type":"CDM"},{"code":"510","type":"RC"},{"code":"49587","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":969,"gross_charge":1059,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"Or/other 0-15 Min","code_information":[{"code":"17300","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":969,"gross_charge":1059,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":969},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"Screw Cann.7.0mm 32mm Thrd 115mm","code_information":[{"code":"48536","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":968,"gross_charge":1058,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"28090 Exc Of Les, Ten, Sheath/cap; Foot","code_information":[{"code":"CP17585603283888829","type":"CDM"},{"code":"510","type":"RC"},{"code":"28090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":219,"maximum":968,"gross_charge":1058,"discounted_cash":794,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":968},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":952},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":466}]}]},{"description":"Orthosis Ko Right Adj Knee Joint Prefab","code_information":[{"code":"52078-RT","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1832","type":"HCPCS","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":218,"maximum":966,"gross_charge":1056,"discounted_cash":792,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"Trom Advanced Post-operative Brace","code_information":[{"code":"52452-RT","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1832","type":"HCPCS","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":218,"maximum":966,"gross_charge":1056,"discounted_cash":792,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":966},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":465}]}]},{"description":"26650 Perc Fixation Cmc Fx/disloc W Mani","code_information":[{"code":"CP17585603283870638","type":"CDM"},{"code":"510","type":"RC"},{"code":"26650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":218,"maximum":964,"gross_charge":1054,"discounted_cash":791,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":964},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":464}]}]},{"description":"Cath Suprapubic Bonanno","code_information":[{"code":"49555","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49555","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":218,"maximum":963,"gross_charge":1053,"discounted_cash":790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"26608 Perc Fixation Metacarpal Fx Each","code_information":[{"code":"CP17585603283872918","type":"CDM"},{"code":"510","type":"RC"},{"code":"26608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":218,"maximum":963,"gross_charge":1053,"discounted_cash":790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Explore/treat Knee Joint","code_information":[{"code":"CP17585603283915735","type":"CDM"},{"code":"510","type":"RC"},{"code":"27331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":218,"maximum":963,"gross_charge":1053,"discounted_cash":790,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"Plate Ti T-buttress  8 Hole","code_information":[{"code":"50934","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50934","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":218,"maximum":963,"gross_charge":1052,"discounted_cash":789,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":963},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":463}]}]},{"description":"20525 Rem F/body (V-01/09)","code_information":[{"code":"CP17585603283832327","type":"CDM"},{"code":"510","type":"RC"},{"code":"20525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":961,"gross_charge":1050,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"27230 Cl Tx Femoral Fx Prox End","code_information":[{"code":"CP17585603283871594","type":"CDM"},{"code":"510","type":"RC"},{"code":"27230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":961,"gross_charge":1050,"discounted_cash":788,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":961},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"Exc Tumor Soft Tissue Forearm Or Wrist Less Than 3cm","code_information":[{"code":"CP17585603283912580","type":"CDM"},{"code":"510","type":"RC"},{"code":"25075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":217,"maximum":960,"gross_charge":1049,"discounted_cash":787,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":960},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":462}]}]},{"description":"13132 Rpr Complex Fccmnaghjf 2.6-7.5 Cm","code_information":[{"code":"CP17585603283830863","type":"CDM"},{"code":"510","type":"RC"},{"code":"13132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":957,"gross_charge":1046,"discounted_cash":785,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":880},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":957},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":460}]}]},{"description":"Excision Back Lesion Sc 3 Cm/>excision Back Lesion Sc 3 Cm/>","code_information":[{"code":"CP17585603283912975","type":"CDM"},{"code":"510","type":"RC"},{"code":"21931","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":956,"gross_charge":1045,"discounted_cash":784,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":460}]}]},{"description":"Microscopic Complex; Level Vidcpa","code_information":[{"code":"17014","type":"CDM"},{"code":"310","type":"RC"},{"code":"88309","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":216,"maximum":956,"gross_charge":1045,"discounted_cash":784,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":956},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":941},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":460}]}]},{"description":"27193 Closed-pelvic Ring Fract Wo/manip","code_information":[{"code":"CP17585603283876242","type":"CDM"},{"code":"510","type":"RC"},{"code":"27193","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":215,"maximum":953,"gross_charge":1042,"discounted_cash":782,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"21930 Exc Sft Tiss Lesion Bk-flnk Sup","code_information":[{"code":"CP17585603283858902","type":"CDM"},{"code":"510","type":"RC"},{"code":"21930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":215,"maximum":953,"gross_charge":1041,"discounted_cash":781,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":953},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":895},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":458}]}]},{"description":"24605 Tx Cl Elbow Disloc W Anesthesia","code_information":[{"code":"CP17585603283864646","type":"CDM"},{"code":"510","type":"RC"},{"code":"24605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":215,"maximum":950,"gross_charge":1038,"discounted_cash":779,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":950},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":457}]}]},{"description":"Screw Ss Dhs/dcs Compression 25mm","code_information":[{"code":"48596","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48596","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":949,"gross_charge":1037,"discounted_cash":778,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Screw Ss Dhs/dcs Compression 22mm Zmr","code_information":[{"code":"51223","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":949,"gross_charge":1037,"discounted_cash":778,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Screw Ss Dhs/dcs Compression 25mm Zmr","code_information":[{"code":"51224","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":949,"gross_charge":1037,"discounted_cash":778,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":949},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"28024 Arth Incl Expl, Drain Or Removal","code_information":[{"code":"CP17585603283880814","type":"CDM"},{"code":"510","type":"RC"},{"code":"28024","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":948,"gross_charge":1036,"discounted_cash":777,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"Release Lft Hand Subcutaneous Tissue And Fascia","code_information":[{"code":"CP17585603283941350","type":"CDM"},{"code":"510","type":"RC"},{"code":"26045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":948,"gross_charge":1036,"discounted_cash":777,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":948},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":456}]}]},{"description":"26727 Perc Sk Fix Phalang Fx W Manipul","code_information":[{"code":"CP17585603283877394","type":"CDM"},{"code":"510","type":"RC"},{"code":"26727","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":947,"gross_charge":1035,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":".Leukoreduced Rc Irradiated","code_information":[{"code":"350053","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9040","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":947,"gross_charge":1035,"discounted_cash":776,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":947},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":932},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Cll Igvh Mutation Status","code_information":[{"code":"758229","type":"CDM"},{"code":"310","type":"RC"},{"code":"81263","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":214,"maximum":945,"gross_charge":1033,"discounted_cash":775,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":945},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":455}]}]},{"description":"Staple Reload Unit Linear Cutter 100mm","code_information":[{"code":"52211","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":944,"gross_charge":1032,"discounted_cash":774,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":944},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":929},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"27810 Closed-bimalloelar Ankle Fr Manip","code_information":[{"code":"CP17585603283880232","type":"CDM"},{"code":"510","type":"RC"},{"code":"27810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":943,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Amb Or Minor / Proc Rmacuity Level 3","code_information":[{"code":"17203","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":943,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Barium Enema W Air","code_information":[{"code":"39006","type":"CDM"},{"code":"320","type":"RC"},{"code":"74280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":943,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Gi Wo Kub","code_information":[{"code":"39115","type":"CDM"},{"code":"320","type":"RC"},{"code":"74240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":943,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"Cholangio Operative","code_information":[{"code":"39127","type":"CDM"},{"code":"320","type":"RC"},{"code":"74300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":943,"gross_charge":1031,"discounted_cash":773,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":943},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":887},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":454}]}]},{"description":"23075 Exc Shoulder Les Sc < 3 Cm","code_information":[{"code":"CP17585603283850037","type":"CDM"},{"code":"510","type":"RC"},{"code":"23075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":942,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":453}]}]},{"description":"Biopsy exam of large bowel using an endoscope","code_information":[{"code":"CP17585603283909455","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":213,"maximum":942,"gross_charge":1029,"discounted_cash":772,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":942},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":453}]}]},{"description":"Sugammadex Vial 200mg/2ml","code_information":[{"code":"308955-12","type":"CDM"},{"code":"250","type":"RC"},{"code":"65423","type":"CPT","modifier":"12"}],"standard_charges":[{"setting":"outpatient","modifier_code":["12"],"minimum":212,"maximum":940,"gross_charge":1027,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":452}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Sugammadex Vial 200mg/2ml","code_information":[{"code":"308955","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP308955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":940,"gross_charge":1027,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":940},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":452}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hip Unipolar Taper Sleeve +12mm","code_information":[{"code":"48441","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48441","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":939,"gross_charge":1026,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Hip Unipolar Taper Sleeve + 0mm","code_information":[{"code":"48444","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":939,"gross_charge":1026,"discounted_cash":770,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":939},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"12055 Layer Rpr Feenl 12.6-20.0 Cm","code_information":[{"code":"CP17585603283832890","type":"CDM"},{"code":"510","type":"RC"},{"code":"12055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":938,"gross_charge":1025,"discounted_cash":769,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":938},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Thoracic Fascial Plane Block Unilateral","code_information":[{"code":"65488","type":"CDM"},{"code":"450","type":"RC"},{"code":"64466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":212,"maximum":937,"gross_charge":1024,"discounted_cash":768,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":937},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":451}]}]},{"description":"Staple Reload Unit Linear Cutter 55mm","code_information":[{"code":"49488","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49488","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":935,"gross_charge":1022,"discounted_cash":767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":450}]}]},{"description":"Staple Reload Unit Linear Cutter 75mm","code_information":[{"code":"52186","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52186","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":935,"gross_charge":1022,"discounted_cash":767,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":935},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":450}]}]},{"description":"Bone Graft Collagraft Matrix Strip Kit/1","code_information":[{"code":"48951","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":934,"gross_charge":1021,"discounted_cash":766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"Bone Graft Canc. Chips 7.5cc 4-10mm","code_information":[{"code":"48996","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":934,"gross_charge":1021,"discounted_cash":766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"Bone Graft Canc. Chips 5cc 1.7-10mm","code_information":[{"code":"50488","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50488","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":934,"gross_charge":1021,"discounted_cash":766,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":859},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":934},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":919},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"23605 Closed-humerus Fract/w Manip","code_information":[{"code":"CP17585603283865093","type":"CDM"},{"code":"510","type":"RC"},{"code":"23605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":933,"gross_charge":1020,"discounted_cash":765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"46250 Hemorrhoidectomy Ext Complete","code_information":[{"code":"CP17585603283906511","type":"CDM"},{"code":"510","type":"RC"},{"code":"46250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":933,"gross_charge":1020,"discounted_cash":765,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":933},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":918},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":449}]}]},{"description":"Ivp","code_information":[{"code":"39036","type":"CDM"},{"code":"320","type":"RC"},{"code":"74400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":211,"maximum":931,"gross_charge":1018,"discounted_cash":764,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":931},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":875},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":448}]}]},{"description":"Microsatellite Instability Analysisqu","code_information":[{"code":"22021","type":"CDM"},{"code":"310","type":"RC"},{"code":"81301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":210,"maximum":930,"gross_charge":1016,"discounted_cash":762,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":447}]}]},{"description":"Mesh Prolene Bi-level Soft Tissue Patch","code_information":[{"code":"50091","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":210,"maximum":930,"gross_charge":1016,"discounted_cash":762,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":930},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":914},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":447}]}]},{"description":"27620 Arthrotomy Ankle W Explo W/wo Bx","code_information":[{"code":"CP17585603283878416","type":"CDM"},{"code":"510","type":"RC"},{"code":"27620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":210,"maximum":928,"gross_charge":1014,"discounted_cash":761,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":928},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":446}]}]},{"description":"Lap Irrig Probe Trumpet Style","code_information":[{"code":"49303","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":926,"gross_charge":1012,"discounted_cash":759,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":926},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":445}]}]},{"description":"27062 Removal Femur Lesion/bursa","code_information":[{"code":"CP17585603283874294","type":"CDM"},{"code":"510","type":"RC"},{"code":"27062","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":925,"gross_charge":1011,"discounted_cash":758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":925},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":445}]}]},{"description":"Pneumonococcal Vaccine 0.5ml","code_information":[{"code":"303349","type":"CDM"},{"code":"636","type":"RC"},{"code":"90732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":924,"gross_charge":1010,"discounted_cash":758,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":924},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":444}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate Ti 3.5mm Recon.  7 Hole","code_information":[{"code":"50785","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":209,"maximum":923,"gross_charge":1009,"discounted_cash":757,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":923},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":908},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":444}]}]},{"description":"Us Breast Limitedbilateral","code_information":[{"code":"39637-50","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":208,"maximum":922,"gross_charge":1008,"discounted_cash":756,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":444}]}]},{"description":"Us Renal Complete","code_information":[{"code":"39162","type":"CDM"},{"code":"402","type":"RC"},{"code":"76770","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":922,"gross_charge":1008,"discounted_cash":756,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":848},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":922},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":444}]}]},{"description":"27327 Exc Tumor Thigh/knee Subcutaneous","code_information":[{"code":"CP17585603283873543","type":"CDM"},{"code":"510","type":"RC"},{"code":"27327","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":921,"gross_charge":1007,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":921},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":866},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Surg Alumi-hand Hand Immobilizer Lrg","code_information":[{"code":"52552","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52552","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Pxparacentis W Image Guidance","code_information":[{"code":"40009","type":"CDM"},{"code":"761","type":"RC"},{"code":"49083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Ed-probs Are Of High Severity","code_information":[{"code":"65011","type":"CDM"},{"code":"450","type":"RC"},{"code":"99285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Paracentesis W/o Imaging","code_information":[{"code":"65477","type":"CDM"},{"code":"450","type":"RC"},{"code":"49082","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Abdominal Paracentesis W/ Imaging","code_information":[{"code":"65554","type":"CDM"},{"code":"450","type":"RC"},{"code":"49083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Ed-probs Are Of High Severity","code_information":[{"code":"65911-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99285","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":208,"maximum":920,"gross_charge":1006,"discounted_cash":755,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":920},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":443}]}]},{"description":"Zz Menactra 0.5ml","code_information":[{"code":"304188","type":"CDM"},{"code":"636","type":"RC"},{"code":"90732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":917,"gross_charge":1002,"discounted_cash":752,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":917},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":902},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":862},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":441}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Incision&amp; Drainage, Deep Abscess/hemtoma","code_information":[{"code":"CP17585600566676494","type":"CDM"},{"code":"521","type":"RC"},{"code":"21501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":916,"gross_charge":1001,"discounted_cash":751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Wound Vac Granufoam Ag Dress Med","code_information":[{"code":"52202","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP52202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":916,"gross_charge":1001,"discounted_cash":751,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":916},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":901},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Lap Trocar Disp Bladeless  5mm 150mm","code_information":[{"code":"50377","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":207,"maximum":915,"gross_charge":1000,"discounted_cash":750,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":915},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":440}]}]},{"description":"Lidocaine Pain Pump Kit Single Use","code_information":[{"code":"50339","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":913,"gross_charge":998,"discounted_cash":749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":439}]}]},{"description":"Endscp Cautery Biopsy Forceps","code_information":[{"code":"49060","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":913,"gross_charge":998,"discounted_cash":749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":439}]}]},{"description":"Spine Complete (6 Views Min)","code_information":[{"code":"39646","type":"CDM"},{"code":"320","type":"RC"},{"code":"72084","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":913,"gross_charge":998,"discounted_cash":749,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":913},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":439}]}]},{"description":"Remove Hand Bone Lesion","code_information":[{"code":"CP17585603283947300","type":"CDM"},{"code":"510","type":"RC"},{"code":"26200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":911,"gross_charge":996,"discounted_cash":747,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":438}]}]},{"description":"Regional Nerve Block","code_information":[{"code":"65485","type":"CDM"},{"code":"450","type":"RC"},{"code":"64421","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":911,"gross_charge":996,"discounted_cash":747,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":911},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":438}]}]},{"description":"20693 Adjust Ext Fixation Dev W/anes","code_information":[{"code":"CP17585603283857549","type":"CDM"},{"code":"510","type":"RC"},{"code":"20693","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":206,"maximum":910,"gross_charge":995,"discounted_cash":746,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":910},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":438}]}]},{"description":"21552 Exc Tumor Neck Less More 3cm","code_information":[{"code":"CP17585603283855087","type":"CDM"},{"code":"510","type":"RC"},{"code":"21552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":909,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":437}]}]},{"description":"Plate Scp Narrow  4 Hole","code_information":[{"code":"48680","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48680","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":909,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":437}]}]},{"description":"Plate Scp Narrow  5 Hole","code_information":[{"code":"48681","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48681","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":909,"gross_charge":993,"discounted_cash":745,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":909},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":437}]}]},{"description":"Cath Fogarty Biliary 6fr W/balloon","code_information":[{"code":"49151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":907,"gross_charge":991,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"Cath Fogarty Biliary 5fr W/balloon","code_information":[{"code":"49558","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":907,"gross_charge":991,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"49585 Repair Umbil Hem, Reduc >5 Yr","code_information":[{"code":"CP17585603283905480","type":"CDM"},{"code":"510","type":"RC"},{"code":"49585","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":907,"gross_charge":991,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"Colonoscopy Submucous Njx","code_information":[{"code":"CP17585603283918993","type":"CDM"},{"code":"510","type":"RC"},{"code":"45381","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":907,"gross_charge":991,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"Release Knee Bursa, Ligament Open Approach","code_information":[{"code":"CP17585603283943200","type":"CDM"},{"code":"510","type":"RC"},{"code":"27425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":907,"gross_charge":991,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":907},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"Shaver Burr 5.5mm Acromionizer","code_information":[{"code":"48925","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48925","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":906,"gross_charge":990,"discounted_cash":743,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":906},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":436}]}]},{"description":"11606 Exc Mal Les Mar Trnk Arm/leg <4","code_information":[{"code":"CP17585600566589459","type":"CDM"},{"code":"521","type":"RC"},{"code":"11606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":205,"maximum":905,"gross_charge":989,"discounted_cash":742,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":905},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":435}]}]},{"description":"27618 Exc Leg/ank Tumor <3 Cm","code_information":[{"code":"CP17585603283878783","type":"CDM"},{"code":"510","type":"RC"},{"code":"27618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":204,"maximum":904,"gross_charge":988,"discounted_cash":741,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":904},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":889},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":435}]}]},{"description":"E-surg Cutting Loop 24 Fr Gyn. Right/ang","code_information":[{"code":"49957","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":204,"maximum":903,"gross_charge":987,"discounted_cash":740,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":903},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":434}]}]},{"description":"Switchcut Reamer Kit","code_information":[{"code":"53095","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":900,"gross_charge":984,"discounted_cash":738,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":900},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Us Ob Follow Up","code_information":[{"code":"39643","type":"CDM"},{"code":"402","type":"RC"},{"code":"76816","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":899,"gross_charge":983,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Plate Ti 3.5mm Recon.  6 Hole","code_information":[{"code":"50784","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":899,"gross_charge":983,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":433}]}]},{"description":"Clear Vue Slim Implantable Power Port","code_information":[{"code":"52837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":899,"gross_charge":982,"discounted_cash":737,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":899},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":432}]}]},{"description":"Ex.fix. Schanz Screw 5.0mm X 200mm","code_information":[{"code":"48107","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":203,"maximum":898,"gross_charge":981,"discounted_cash":736,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":898},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":883},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":432}]}]},{"description":"Lateral Anal Sphecteriotomy","code_information":[{"code":"CP17585603283942447","type":"CDM"},{"code":"510","type":"RC"},{"code":"46200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":896,"gross_charge":979,"discounted_cash":734,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":896},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":881},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":431}]}]},{"description":"26236 Partial Exc Bone Dist Phalanx-fing","code_information":[{"code":"CP17585603283864803","type":"CDM"},{"code":"510","type":"RC"},{"code":"26236","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":894,"gross_charge":977,"discounted_cash":733,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":894},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":430}]}]},{"description":"Tray Umbilical Cath 3.5 & 5fr","code_information":[{"code":"50381","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50381","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":893,"gross_charge":976,"discounted_cash":732,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":893},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":429}]}]},{"description":"44389 Colonoscopy Thru Stoma W Biopsy","code_information":[{"code":"CP17585603283894903","type":"CDM"},{"code":"510","type":"RC"},{"code":"44389","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":202,"maximum":892,"gross_charge":975,"discounted_cash":731,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":892},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":429}]}]},{"description":"28810 Amputation Metatarsal W Toe Single","code_information":[{"code":"CP17585603283881707","type":"CDM"},{"code":"510","type":"RC"},{"code":"28810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":891,"gross_charge":974,"discounted_cash":731,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":891},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":877},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":429}]}]},{"description":"28496 Perc Fix Fx Gr Toe W Manipulation","code_information":[{"code":"CP17585603283880366","type":"CDM"},{"code":"510","type":"RC"},{"code":"28496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":890,"gross_charge":973,"discounted_cash":730,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":890},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":428}]}]},{"description":"28008 Fasciotomy, Foot A/o Toe","code_information":[{"code":"CP17585603283884815","type":"CDM"},{"code":"510","type":"RC"},{"code":"28008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":888,"gross_charge":971,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"38525 Exc/bx Deep Axillary Lymph Node(s)","code_information":[{"code":"CP17585603283898015","type":"CDM"},{"code":"510","type":"RC"},{"code":"38525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":888,"gross_charge":971,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"Stapler Ligaclip Multifeed Med/lg 10mm","code_information":[{"code":"49520","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":888,"gross_charge":970,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"Stapler Ligaclip Multifeed Small  10mm","code_information":[{"code":"50212","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":888,"gross_charge":970,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"Anchor Rotator Cuff Abs W/suture","code_information":[{"code":"50503","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":201,"maximum":888,"gross_charge":970,"discounted_cash":728,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":888},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":873},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":427}]}]},{"description":"Closed Tx Shlder Dis W/fx, W/manip","code_information":[{"code":"65566","type":"CDM"},{"code":"450","type":"RC"},{"code":"23675","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":886,"gross_charge":968,"discounted_cash":726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":426}]}]},{"description":"Clsd Tx Femoral Shaft Fx, W/manip","code_information":[{"code":"65569","type":"CDM"},{"code":"450","type":"RC"},{"code":"27502","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":886,"gross_charge":968,"discounted_cash":726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":426}]}]},{"description":"Clsd Tx Articular Fx, Mp Or Ip Jnt W/man","code_information":[{"code":"65571","type":"CDM"},{"code":"450","type":"RC"},{"code":"26742","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":886,"gross_charge":968,"discounted_cash":726,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":886},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":871},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":426}]}]},{"description":"Jgrloc Unicortical Fix Dev","code_information":[{"code":"53229","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":885,"gross_charge":967,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":885},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":870},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Release Rt Hand Muscle, Open Approach","code_information":[{"code":"CP17585603283945480","type":"CDM"},{"code":"510","type":"RC"},{"code":"25290","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":884,"gross_charge":966,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Locking Screw Tap Percutaneous Zps 3.5mm","code_information":[{"code":"52724","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52724","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":884,"gross_charge":966,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Tranfusion, Blood/blood Components","code_information":[{"code":"65367","type":"CDM"},{"code":"450","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":884,"gross_charge":966,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"Tranfusion, Blood/blood Components","code_information":[{"code":"400302","type":"CDM"},{"code":"391","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":200,"maximum":884,"gross_charge":966,"discounted_cash":725,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":884},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":869},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":425}]}]},{"description":"27267 Closed Tx Thigh Fx","code_information":[{"code":"CP17585603283873688","type":"CDM"},{"code":"510","type":"RC"},{"code":"27267","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":882,"gross_charge":964,"discounted_cash":723,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":882},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":424}]}]},{"description":"28150 Phalangectomy Toe Each","code_information":[{"code":"CP17585603283884617","type":"CDM"},{"code":"510","type":"RC"},{"code":"28150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":879,"gross_charge":961,"discounted_cash":721,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":879},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":865},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":423}]}]},{"description":"I/d Perianal Abscess","code_information":[{"code":"65377","type":"CDM"},{"code":"450","type":"RC"},{"code":"46050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":878,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":422}]}]},{"description":"Fb Removal Rectum","code_information":[{"code":"65476","type":"CDM"},{"code":"450","type":"RC"},{"code":"46608","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":199,"maximum":878,"gross_charge":960,"discounted_cash":720,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":878},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":422}]}]},{"description":"Arthro Intellijet Irr. Kit Inflow Only","code_information":[{"code":"48933","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48933","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":876,"gross_charge":957,"discounted_cash":718,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"25675 Cl Tx Distal Radioulnar Disl W Man","code_information":[{"code":"CP17585603283863758","type":"CDM"},{"code":"510","type":"RC"},{"code":"25675","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":876,"gross_charge":957,"discounted_cash":718,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Treat Radius Fracture","code_information":[{"code":"CP17585603283955438","type":"CDM"},{"code":"510","type":"RC"},{"code":"24655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":198,"maximum":876,"gross_charge":957,"discounted_cash":718,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":876},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":861},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":421}]}]},{"description":"Bone Graft Cort/canc. Chips 30cc","code_information":[{"code":"48952","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":874,"gross_charge":955,"discounted_cash":716,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":874},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":420}]}]},{"description":"Laparoscopy, Surgical; Repair Initial Inguinal Hernia","code_information":[{"code":"CP17585603283945795","type":"CDM"},{"code":"510","type":"RC"},{"code":"49650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":872,"gross_charge":953,"discounted_cash":715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":419}]}]},{"description":"Hip Centralizer 14mm Diameter","code_information":[{"code":"48373","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48373","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":197,"maximum":872,"gross_charge":953,"discounted_cash":715,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":872},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":419}]}]},{"description":"64721 Neuroplasty Median Nerv At Ctunal","code_information":[{"code":"CP17585603283902207","type":"CDM"},{"code":"510","type":"RC"},{"code":"64721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":868,"gross_charge":949,"discounted_cash":712,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":868},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":418}]}]},{"description":"28092 Exc Lesion Tendon/ganglion Toes Ea","code_information":[{"code":"CP17585603283886867","type":"CDM"},{"code":"510","type":"RC"},{"code":"28092","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":867,"gross_charge":948,"discounted_cash":711,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":853},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":417}]}]},{"description":"Laparoscopic Flat L-hook Electrode 36cm","code_information":[{"code":"52999","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":867,"gross_charge":947,"discounted_cash":710,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":417}]}]},{"description":"Laparoscopic Flat L-hook  Electrod 36cm","code_information":[{"code":"53038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":867,"gross_charge":947,"discounted_cash":710,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":417}]}]},{"description":"25240 Exc, Distal Ulna, Partial Or Comp","code_information":[{"code":"CP17585603283865454","type":"CDM"},{"code":"510","type":"RC"},{"code":"25240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":196,"maximum":867,"gross_charge":947,"discounted_cash":710,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":867},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":852},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":417}]}]},{"description":"30 Degree Kelman 0.9mm","code_information":[{"code":"52463","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52463","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":864,"gross_charge":944,"discounted_cash":708,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":864},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":415}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  159mm 12h","code_information":[{"code":"52712","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":195,"maximum":863,"gross_charge":943,"discounted_cash":707,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":863},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":415}]}]},{"description":"Hemorrhoidectomy,int & Amp; Ext, Simple With Fissurectomy","code_information":[{"code":"CP17585603283927567","type":"CDM"},{"code":"510","type":"RC"},{"code":"46257","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":860,"gross_charge":940,"discounted_cash":705,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":414}]}]},{"description":"Glucagon Vial 1mg","code_information":[{"code":"300716","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323059303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":194,"maximum":860,"gross_charge":940,"discounted_cash":705,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":860},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":846},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":414}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"20694 Remove Bone Fixation Device","code_information":[{"code":"CP17585603283851025","type":"CDM"},{"code":"510","type":"RC"},{"code":"20694","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":858,"gross_charge":938,"discounted_cash":704,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":858},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":413}]}]},{"description":"Gi W Air Wo Kub","code_information":[{"code":"39436","type":"CDM"},{"code":"320","type":"RC"},{"code":"74246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":857,"gross_charge":937,"discounted_cash":703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Tray Cath Introducer 6.0fr","code_information":[{"code":"49167","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49167","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":857,"gross_charge":937,"discounted_cash":703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"13121 Rpr Complex Sal 2.6-7.5 Cm","code_information":[{"code":"CP17585603283830575","type":"CDM"},{"code":"510","type":"RC"},{"code":"13121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":857,"gross_charge":937,"discounted_cash":703,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":857},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Ex.fix. Schanz Screw 4.5mm X 200mm","code_information":[{"code":"48109","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":856,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Cort.3.7mm 35mm","code_information":[{"code":"48364","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":856,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Cort.3.7mm 40mm","code_information":[{"code":"48365","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48365","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":856,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Cort.3.7mm 45mm","code_information":[{"code":"48366","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":856,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Screw Cort.3.7mm 24mm","code_information":[{"code":"48367","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48367","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":194,"maximum":856,"gross_charge":936,"discounted_cash":702,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":412}]}]},{"description":"Tube Tracheostomy W/ Obturator Metal Sz7","code_information":[{"code":"49802","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":856,"gross_charge":935,"discounted_cash":701,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":856},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":411}]}]},{"description":"Us Scrotum/testicular","code_information":[{"code":"39166","type":"CDM"},{"code":"402","type":"RC"},{"code":"76870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":854,"gross_charge":933,"discounted_cash":700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":411}]}]},{"description":"Us Scrotum/testicular W/ Doppler","code_information":[{"code":"39167","type":"CDM"},{"code":"402","type":"RC"},{"code":"76870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":854,"gross_charge":933,"discounted_cash":700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":411}]}]},{"description":"Us Aaa Screening","code_information":[{"code":"39388","type":"CDM"},{"code":"402","type":"RC"},{"code":"76706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":193,"maximum":854,"gross_charge":933,"discounted_cash":700,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":854},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":411}]}]},{"description":"Plate T Sml 4 Hole Head 4 Hole Shaft","code_information":[{"code":"48653","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":851,"gross_charge":930,"discounted_cash":698,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":851},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Occluder Colpo-pneumo","code_information":[{"code":"50367","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50367","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":850,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"64774 Removal Skin Nerve Lesion","code_information":[{"code":"CP17585603283905836","type":"CDM"},{"code":"510","type":"RC"},{"code":"64774","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":850,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Excision, Tumor, Soft Tissue Of Knee Area, 3 Cm Or Greater","code_information":[{"code":"CP17585603283919439","type":"CDM"},{"code":"510","type":"RC"},{"code":"27337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":850,"gross_charge":929,"discounted_cash":697,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":850},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":836},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":409}]}]},{"description":"Lap Mesh Tack Reload Unit 8 Reliatack","code_information":[{"code":"52248","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52248","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":849,"gross_charge":928,"discounted_cash":696,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":408}]}]},{"description":"49570 Repair Epigastric Hernia","code_information":[{"code":"CP17585603283909314","type":"CDM"},{"code":"510","type":"RC"},{"code":"49570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":849,"gross_charge":928,"discounted_cash":696,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":408}]}]},{"description":"Dest Para Facet Jt By Neuro Agent","code_information":[{"code":"CP17585603283914620","type":"CDM"},{"code":"510","type":"RC"},{"code":"64635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":192,"maximum":849,"gross_charge":928,"discounted_cash":696,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":849},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":798},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":408}]}]},{"description":"13151 Rpr Complex Enel 1.1-2.5 Cm","code_information":[{"code":"CP17585603283832280","type":"CDM"},{"code":"510","type":"RC"},{"code":"13151","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":847,"gross_charge":926,"discounted_cash":695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Amb Or Minor / Proc Rmacuity Level 2","code_information":[{"code":"17202","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":847,"gross_charge":926,"discounted_cash":695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Wound Drain Round 10fr 1/8  W/trocar","code_information":[{"code":"52204","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":847,"gross_charge":926,"discounted_cash":695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Arthro Magnum Wire Suture Black Implant","code_information":[{"code":"52849","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52849","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":847,"gross_charge":926,"discounted_cash":695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Staple Reloading Unit Ta55-3.5","code_information":[{"code":"49175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":847,"gross_charge":926,"discounted_cash":695,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":847},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":833},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Excision Tumor, Soft Tissue Of Leg Or Ankle Area 3 Cm Or Greater","code_information":[{"code":"CP17585603283913492","type":"CDM"},{"code":"510","type":"RC"},{"code":"27632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":845,"gross_charge":924,"discounted_cash":693,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":845},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":795},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":407}]}]},{"description":"Plate Ss 3.5mm Recon. 10 Hole","code_information":[{"code":"48735","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48735","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":191,"maximum":844,"gross_charge":922,"discounted_cash":692,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":844},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":830},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":406}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 14mm","code_information":[{"code":"50553","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50553","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 26mm","code_information":[{"code":"51022","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 18mm","code_information":[{"code":"51042","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 12mm","code_information":[{"code":"51074","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 20mm","code_information":[{"code":"51075","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 30mm","code_information":[{"code":"51076","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":843,"gross_charge":921,"discounted_cash":691,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":843},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Locking Screw Cann Standard Depth G 3.5","code_information":[{"code":"52635","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Locking Screw Tap Standard 2.7mm","code_information":[{"code":"52636","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Locking Screw Tap Standard 3.5mm","code_information":[{"code":"52637","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52637","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Locking Screw Tap Standard  Cann 3.5mm","code_information":[{"code":"52638","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"26756 Perc Fixation Distal Phal Fx Each","code_information":[{"code":"CP17585603283878742","type":"CDM"},{"code":"510","type":"RC"},{"code":"26756","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"27600 Decomp Fasciotomy Ant +/Or Lateral","code_information":[{"code":"CP17585603283878717","type":"CDM"},{"code":"510","type":"RC"},{"code":"27600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":842,"gross_charge":920,"discounted_cash":690,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":842},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":828},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":405}]}]},{"description":"Arthro Magnum Wire Suture Opus Implant","code_information":[{"code":"52847","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":841,"gross_charge":919,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Arthro Magnum Wire Suture Blue Implant","code_information":[{"code":"52848","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":841,"gross_charge":919,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Arthro Magnum Wire Suture Multi Passer","code_information":[{"code":"52850","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52850","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":841,"gross_charge":919,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Arthro Magnum Wire Suture Co-braided","code_information":[{"code":"52853","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52853","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":841,"gross_charge":919,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":841},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Smoothbore Bilevel Breathing System","code_information":[{"code":"52922","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":840,"gross_charge":918,"discounted_cash":689,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":840},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":404}]}]},{"description":"Shaver Blade Misc. Sizes","code_information":[{"code":"48912","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":190,"maximum":839,"gross_charge":917,"discounted_cash":688,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":839},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Irrig P'vac Tubing W/ Fan Spray Tip","code_information":[{"code":"48946","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48946","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":838,"gross_charge":916,"discounted_cash":687,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":838},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Tourniquet Cuff 24  Disp Dpdb W/ Sleeve","code_information":[{"code":"52160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":837,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Tourniquet Cuff 18  Disp Dpdb W/ Sleeve","code_information":[{"code":"52340","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":837,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Titanium Suture Anchor 5.0mm","code_information":[{"code":"52744","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52744","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":837,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"Plate  Locking 1.5mm Straight","code_information":[{"code":"53039","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":837,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"21555 Excision Tumor,neck/hest","code_information":[{"code":"CP17585603283858101","type":"CDM"},{"code":"510","type":"RC"},{"code":"21555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":837,"gross_charge":915,"discounted_cash":686,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":837},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":403}]}]},{"description":"43247 Egd W Removal Of Foreign Body","code_information":[{"code":"CP17585603283898240","type":"CDM"},{"code":"510","type":"RC"},{"code":"43247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":835,"gross_charge":913,"discounted_cash":685,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":835},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":785},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":402}]}]},{"description":"Assy Ship 0.9mm Ultra","code_information":[{"code":"52458","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":189,"maximum":834,"gross_charge":912,"discounted_cash":684,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":401}]}]},{"description":"Tibial Nail Cort.screw 5.0mm X 27.5mm","code_information":[{"code":"52074","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":834,"gross_charge":911,"discounted_cash":683,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":834},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":820},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":401}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 36mm","code_information":[{"code":"51126","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":832,"gross_charge":909,"discounted_cash":682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 38mm","code_information":[{"code":"51127","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":832,"gross_charge":909,"discounted_cash":682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 40mm","code_information":[{"code":"51128","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":832,"gross_charge":909,"discounted_cash":682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Plate Ss 3.5mm Recon.  9 Hole","code_information":[{"code":"48734","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":832,"gross_charge":909,"discounted_cash":682,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":832},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":818},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":782},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Arthro Meniscal Fastfix Del'y Sys Crvd","code_information":[{"code":"50500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":188,"maximum":831,"gross_charge":908,"discounted_cash":681,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":831},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":400}]}]},{"description":"Wound Drain Kit 100cc W/ 7mm Drain&trocr","code_information":[{"code":"49630","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49630","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":829,"gross_charge":906,"discounted_cash":680,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":829},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":399}]}]},{"description":"Orthosis Tlso","code_information":[{"code":"50268","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0472","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":827,"gross_charge":904,"discounted_cash":678,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":827},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":814},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":398}]}]},{"description":"Excision Skin And Amp,  Subq Tissue Perianal /Umblical Repair","code_information":[{"code":"CP17585603283910164","type":"CDM"},{"code":"510","type":"RC"},{"code":"11470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":826,"gross_charge":903,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":826},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":"Bur Diamond Round 4.0mm","code_information":[{"code":"48617","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48617","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":825,"gross_charge":902,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":"Excision, Tumor, Soft Tissue Of Upper Arm Or Elbow 3 Cm >","code_information":[{"code":"CP17585603283911127","type":"CDM"},{"code":"510","type":"RC"},{"code":"24071","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":825,"gross_charge":902,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":"Cervical Spine (6 Views Or More)","code_information":[{"code":"39600","type":"CDM"},{"code":"320","type":"RC"},{"code":"72052","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":187,"maximum":825,"gross_charge":902,"discounted_cash":677,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":825},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":812},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":776},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":397}]}]},{"description":"Lap Trocar Disp  5mm 100mm Cannula","code_information":[{"code":"49383","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":901,"discounted_cash":676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Lap Trocar Disp Bladeless  5mm  75mm","code_information":[{"code":"50345","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":901,"discounted_cash":676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Lap Trocar Disp Bladeless 18mm 100mm","code_information":[{"code":"50347","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50347","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":901,"discounted_cash":676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Lap Trocar Disp Bladeless  5mm 100mm","code_information":[{"code":"50376","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50376","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":901,"discounted_cash":676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Trocar Disp Bladeless Obturator  75mm","code_information":[{"code":"52437","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":901,"discounted_cash":676,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Plate Ti 2.4mm Lc-dcp 8 Hole","code_information":[{"code":"50696","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":824,"gross_charge":900,"discounted_cash":675,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":824},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":".Molecular Pathology Procedure, Level 6","code_information":[{"code":"757336","type":"CDM"},{"code":"310","type":"RC"},{"code":"81405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":".Molecular Pathology Procedure  Level 6","code_information":[{"code":"757351","type":"CDM"},{"code":"310","type":"RC"},{"code":"81405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Ex.fix. Schanz Screw 4.0mm X  60mm","code_information":[{"code":"48162","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Ex.fix. Schanz Screw 4.0mm X  80mm","code_information":[{"code":"48163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Ex.fix. Schanz Screw 4.0mm X 100mm","code_information":[{"code":"48164","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48164","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Ex.fix. Schanz Screw 4.0mm X 120mm","code_information":[{"code":"48165","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Shaver Blade Incisor 3.5mm","code_information":[{"code":"48916","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48916","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Shaver Blade Full Radius 5.5mm","code_information":[{"code":"48921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Shaver Blade Incisor+ 4.5mm","code_information":[{"code":"48936","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Shaver Blade Turbowhisker 4.5mm","code_information":[{"code":"48962","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"Staple Reload Unit Linear 60mm","code_information":[{"code":"49784","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":823,"gross_charge":899,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":823},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":396}]}]},{"description":"11626 Exc Malig Lesion Snhfg Over 4.0cm","code_information":[{"code":"CP17585600566587547","type":"CDM"},{"code":"521","type":"RC"},{"code":"11626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":822,"gross_charge":898,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"11626 Exc Malig Lesion Snhfg Over 4.0cm","code_information":[{"code":"CP17585603283832880","type":"CDM"},{"code":"510","type":"RC"},{"code":"11626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":822,"gross_charge":898,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"28043 Exc Tumor Foot Subcutaneous Tissue","code_information":[{"code":"CP17585603283880450","type":"CDM"},{"code":"510","type":"RC"},{"code":"28043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":186,"maximum":822,"gross_charge":898,"discounted_cash":674,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":822},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":808},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":772},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  133mm 10h","code_information":[{"code":"52711","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":821,"gross_charge":897,"discounted_cash":673,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Dilation  Of Esophagus  Via Natural Or Artificial Opening","code_information":[{"code":"CP17585603283916518","type":"CDM"},{"code":"510","type":"RC"},{"code":"43248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":821,"gross_charge":897,"discounted_cash":673,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":821},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":395}]}]},{"description":"Arthrocentesis; Asp &/Or Injint Joint","code_information":[{"code":"850039-RT","type":"CDM"},{"code":"360","type":"RC"},{"code":"20605","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":185,"maximum":819,"gross_charge":895,"discounted_cash":671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Arthrocentesis; Asp &/Or Injint Jt Lt","code_information":[{"code":"850041-LT","type":"CDM"},{"code":"360","type":"RC"},{"code":"20605","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":185,"maximum":819,"gross_charge":895,"discounted_cash":671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Arthrocentesis; Asp &/Or Injint Joint","code_information":[{"code":"850057","type":"CDM"},{"code":"360","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":819,"gross_charge":895,"discounted_cash":671,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":819},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":770},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":394}]}]},{"description":"Wound Vac Granufoam Dressing Medium","code_information":[{"code":"52096","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":817,"gross_charge":893,"discounted_cash":670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Quattro X Anchor 5.5 Bb Tapens","code_information":[{"code":"53107","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":817,"gross_charge":893,"discounted_cash":670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Quattro X Anchor 5.5 Bb Tapesl","code_information":[{"code":"53108","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":185,"maximum":817,"gross_charge":893,"discounted_cash":670,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":817},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":393}]}]},{"description":"Excision Of Rt Wrist Joint, Open Approach","code_information":[{"code":"CP17585603283916885","type":"CDM"},{"code":"510","type":"RC"},{"code":"25101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":816,"gross_charge":892,"discounted_cash":669,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":750},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":816},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":392}]}]},{"description":"Plate Ss 3.5mm Recon.  8 Hole","code_information":[{"code":"48733","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":815,"gross_charge":891,"discounted_cash":668,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":815},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":392}]}]},{"description":"Uro Follower Philip Threaded Tip  8fr","code_information":[{"code":"49473","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49473","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 10fr","code_information":[{"code":"49474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 12fr","code_information":[{"code":"49475","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49475","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 14fr","code_information":[{"code":"49476","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49476","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 16fr","code_information":[{"code":"49477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 18fr","code_information":[{"code":"49478","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 20fr","code_information":[{"code":"49479","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 22fr","code_information":[{"code":"49480","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49480","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"Uro Follower Philip Threaded Tip 24fr","code_information":[{"code":"49481","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49481","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":889,"discounted_cash":667,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"64719 Neuroplasty Ulnar Nerve At Wrist","code_information":[{"code":"CP17585603283903401","type":"CDM"},{"code":"510","type":"RC"},{"code":"64719","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":184,"maximum":813,"gross_charge":888,"discounted_cash":666,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":813},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":799},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":391}]}]},{"description":"23655 Closed Tx Shldr Disloc Wmanip;anes","code_information":[{"code":"CP17585603283869627","type":"CDM"},{"code":"510","type":"RC"},{"code":"23655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":811,"gross_charge":886,"discounted_cash":665,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Excisiion, Neurofibroma/neurolemmomma","code_information":[{"code":"CP17585603283919055","type":"CDM"},{"code":"510","type":"RC"},{"code":"64788","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":811,"gross_charge":886,"discounted_cash":665,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":811},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":390}]}]},{"description":"Closed Treatment, Post Hip Arthoplasty Dislocation W/o Anesthia","code_information":[{"code":"CP17585603283911230","type":"CDM"},{"code":"510","type":"RC"},{"code":"27265","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":810,"gross_charge":885,"discounted_cash":664,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":810},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":389}]}]},{"description":"35761 Exploration Artery/vein","code_information":[{"code":"CP17585603283892545","type":"CDM"},{"code":"510","type":"RC"},{"code":"35761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":183,"maximum":809,"gross_charge":884,"discounted_cash":663,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":809},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":389}]}]},{"description":"Repair Posterior Neck Subcutaneous Tissue And Fascia","code_information":[{"code":"CP17585603283945090","type":"CDM"},{"code":"510","type":"RC"},{"code":"12045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":807,"gross_charge":882,"discounted_cash":662,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":807},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"28606 Perc Skel Fix Tmt Jt/dislocation","code_information":[{"code":"CP17585603283886849","type":"CDM"},{"code":"510","type":"RC"},{"code":"28606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Cytopathology, Insitu Hybridization","code_information":[{"code":"751976","type":"CDM"},{"code":"310","type":"RC"},{"code":"88120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Tube Trach Fen L.p.cuff Sz 8","code_information":[{"code":"49407","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Tube Trach Low Pres Cuff Sz 8","code_information":[{"code":"49641","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Tube Trach Low Pres Cuff Sz 7","code_information":[{"code":"52486","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Tube Trach Low Pres Cuff Sz 8.5","code_information":[{"code":"53058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Tube Trach Low Pres Cuff Sz 6.5","code_information":[{"code":"53059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":806,"gross_charge":881,"discounted_cash":661,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":741},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":806},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":388}]}]},{"description":"Hemabate Amp 250mcg/ml","code_information":[{"code":"302940-5","type":"CDM"},{"code":"250","type":"RC"},{"code":"90856","type":"CPT","modifier":"5"}],"standard_charges":[{"setting":"outpatient","modifier_code":["5"],"minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hemabate Amp 250mcg/ml","code_information":[{"code":"302940","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP302940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Shaver Blade Razorcut 4.5mm","code_information":[{"code":"48915","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48915","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade Incisor 4.5mm","code_information":[{"code":"48917","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade Incisor 5.5mm","code_information":[{"code":"48918","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48918","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade Full Radius 3.5mm","code_information":[{"code":"48919","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48919","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Burr 5.5mm Stonecutter","code_information":[{"code":"48923","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade Full Radius 2.0mm","code_information":[{"code":"48926","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48926","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade Full Radius 2.9mm","code_information":[{"code":"48935","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Burr 5.5mm Abrader","code_information":[{"code":"48960","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade  3.5mm Dual Edge","code_information":[{"code":"52415","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade  3.5mm Smooth Edge","code_information":[{"code":"52416","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52416","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Shaver Blade  4.0 Mm Dual Edge","code_information":[{"code":"52417","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52417","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":805,"gross_charge":880,"discounted_cash":660,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":805},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":757},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Home Sleep Study Test","code_information":[{"code":"37014","type":"CDM"},{"code":"929","type":"RC"},{"code":"95806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":804,"gross_charge":879,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Cpap/bipapeach Subsequent Day","code_information":[{"code":"60196","type":"CDM"},{"code":"410","type":"RC"},{"code":"94003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":804,"gross_charge":879,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"High Flow   Each Subsequent Day","code_information":[{"code":"60201","type":"CDM"},{"code":"410","type":"RC"},{"code":"94003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":804,"gross_charge":879,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":804},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":791},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":387}]}]},{"description":"Screw Cort.5.0mm 55mm","code_information":[{"code":"48096","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":803,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Screw Cort.5.0mm 75mm","code_information":[{"code":"48097","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":182,"maximum":803,"gross_charge":878,"discounted_cash":659,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":803},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"64776 Removal Digit Nerve Lesion V-12/09","code_information":[{"code":"CP17585603283907350","type":"CDM"},{"code":"510","type":"RC"},{"code":"64776","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":802,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Ortho Cement Mixing Bowl/inj/vac System","code_information":[{"code":"48993","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48993","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":802,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Ortho Compact Vacuum Mixing Bowl","code_information":[{"code":"52500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":802,"gross_charge":877,"discounted_cash":658,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":738},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":802},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":789},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":386}]}]},{"description":"Screw Canc.6.5mm 60mm","code_information":[{"code":"48039","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Screw Canc.6.5mm 65mm","code_information":[{"code":"48048","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Screw Canc.6.5mm 55mm","code_information":[{"code":"48049","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Screw Canc.6.5mm 70mm","code_information":[{"code":"48098","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Screw Canc.6.5mm 75mm","code_information":[{"code":"48099","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Plate Ti L-buttress Left  4 Hole","code_information":[{"code":"50935","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Plate Ti L-buttress Right  4 Hole","code_information":[{"code":"50936","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50936","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":801,"gross_charge":875,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":801},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  107mm 8h","code_information":[{"code":"52710","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":181,"maximum":800,"gross_charge":874,"discounted_cash":656,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":800},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":385}]}]},{"description":"Plate T Sml 3 Hole Head 3 Hole Shaft","code_information":[{"code":"48651","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48651","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":797,"gross_charge":871,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Arthro Meniscal T-fix Single Suture Crvd","code_information":[{"code":"48906","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":797,"gross_charge":871,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Arthro Meniscal T-fix Single Suture Stra","code_information":[{"code":"48907","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":797,"gross_charge":871,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Arthro Meniscal T-fix Double Suture Stra","code_information":[{"code":"48908","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48908","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":797,"gross_charge":871,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":797},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":749},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Ex.fix. Apex Pin 4.0mm X 150mm","code_information":[{"code":"48157","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48157","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":796,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"Biopsy exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17585603283954681","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":796,"gross_charge":870,"discounted_cash":653,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":796},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":783},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":383}]}]},{"description":"11644 Exc Malig Lesion Feenl 3.1-4.0 Cm","code_information":[{"code":"CP17585600566591894","type":"CDM"},{"code":"521","type":"RC"},{"code":"11644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"11644 Exc Malig Lesion Feenl 3.1-4.0 Cm","code_information":[{"code":"CP17585603283834061","type":"CDM"},{"code":"510","type":"RC"},{"code":"11644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Total Knee Patella Reamer Blade 38mm Dia","code_information":[{"code":"50425","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Total Knee Patella Reamer Blade 41mm Dia","code_information":[{"code":"50431","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50431","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Total Knee Patella Reamer Blade 46mm Dia","code_information":[{"code":"50435","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Total Knee Patella Reamer Blade 51mm Dia","code_information":[{"code":"50459","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":180,"maximum":794,"gross_charge":868,"discounted_cash":651,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":689},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":794},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":382}]}]},{"description":"Complex Closure Of Wound 2.6 Cm To 7.5 Cm","code_information":[{"code":"CP17585600566609370","type":"CDM"},{"code":"521","type":"RC"},{"code":"13101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":793,"gross_charge":867,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":381}]}]},{"description":"37618 Ligation Major Artery Extremity","code_information":[{"code":"CP17585603283890203","type":"CDM"},{"code":"510","type":"RC"},{"code":"37618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":793,"gross_charge":867,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":381}]}]},{"description":"Complex Closure Of Wound 2.6 Cm To 7.5 Cm","code_information":[{"code":"CP17585603283911796","type":"CDM"},{"code":"510","type":"RC"},{"code":"13101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":793,"gross_charge":867,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":793},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":746},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":381}]}]},{"description":"Quattro Link  Anchor 4.5 Mm","code_information":[{"code":"53109","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":179,"maximum":792,"gross_charge":866,"discounted_cash":650,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":792},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":779},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":381}]}]},{"description":"Tube Trach Low Pres Cuff Sz 7.5","code_information":[{"code":"49406","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49406","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":790,"gross_charge":863,"discounted_cash":647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Z Nail 5.0mm X 30 Cort Screw Fa","code_information":[{"code":"52962","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":790,"gross_charge":863,"discounted_cash":647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Tibial Nail Cap 5mm Height","code_information":[{"code":"51967","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":790,"gross_charge":863,"discounted_cash":647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Tibial Nail Cap 0mm Height","code_information":[{"code":"52075","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":790,"gross_charge":863,"discounted_cash":647,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":726},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":790},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":380}]}]},{"description":"Flutic/umec/vilan Inh. 100/62.5/25mcg","code_information":[{"code":"312690","type":"CDM"},{"code":"637","type":"RC"},{"code":"17308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":788,"gross_charge":861,"discounted_cash":646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":379}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Benign Lesion Removal Over 4.0 Cm","code_information":[{"code":"CP17585600566599058","type":"CDM"},{"code":"521","type":"RC"},{"code":"11446","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":788,"gross_charge":861,"discounted_cash":646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":379}]}]},{"description":"Benign Lesion Removal Over 4.0 Cm","code_information":[{"code":"CP17585603283903539","type":"CDM"},{"code":"510","type":"RC"},{"code":"11446","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":788,"gross_charge":861,"discounted_cash":646,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":788},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":379}]}]},{"description":"Vacurette Curved 10mm","code_information":[{"code":"50356","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":787,"gross_charge":860,"discounted_cash":645,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":787},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":774},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Rn Port-sipayik","code_information":[{"code":"68031","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Rn Port-itp","code_information":[{"code":"68032","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Rn Port-dennys River","code_information":[{"code":"68033","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Rn Port-calais Ems","code_information":[{"code":"68034","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Rn Port-deems","code_information":[{"code":"68036","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Resp Port-sipayik","code_information":[{"code":"68061","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68061","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Resp Port-itp","code_information":[{"code":"68062","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Resp Port-dennys River","code_information":[{"code":"68063","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Resp Port-calais Ems","code_information":[{"code":"68064","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68064","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Amb Resp Port-deems","code_information":[{"code":"68066","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":178,"maximum":786,"gross_charge":859,"discounted_cash":644,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":786},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":378}]}]},{"description":"Injection Procedure For Cystography","code_information":[{"code":"39402","type":"CDM"},{"code":"360","type":"RC"},{"code":"51600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":784,"gross_charge":857,"discounted_cash":643,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":784},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":771},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":377}]}]},{"description":"Walking Boot Pneumatic Small","code_information":[{"code":"50292","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Pneumatic Medium","code_information":[{"code":"52188","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Pneumatic Large","code_information":[{"code":"52189","type":"CDM"},{"code":"274","type":"RC"},{"code":"CP52189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Velcro Black Small","code_information":[{"code":"52446","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Velcro Black Medium","code_information":[{"code":"52447","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Velcro Black Large","code_information":[{"code":"52448","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Walking Boot Velcro Black Xlarge","code_information":[{"code":"52449","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4361","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"25112 Exc Of Ganglion, Wrist (Dor/vol)","code_information":[{"code":"CP17585603283866723","type":"CDM"},{"code":"510","type":"RC"},{"code":"25112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho 3 In 1 Shaver 4.2mm","code_information":[{"code":"52513","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52513","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho Standard Burr 5.0","code_information":[{"code":"52542","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho Dynablator","code_information":[{"code":"52543","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho 3 In 1 Shaver 5.0mm","code_information":[{"code":"52544","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho 3 In 1 Shaver 3.4mm","code_information":[{"code":"52883","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Ortho 3 In 1 Shaver 3.4mm Curved","code_information":[{"code":"53022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":177,"maximum":781,"gross_charge":854,"discounted_cash":641,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":781},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":376}]}]},{"description":"Juggerknot 2.9 Dbl Wt/bk Bl/wt Sl Bb","code_information":[{"code":"53213","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":780,"gross_charge":853,"discounted_cash":640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Tube Trach Fen L.p.cuff Sz 6","code_information":[{"code":"49413","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49413","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":780,"gross_charge":853,"discounted_cash":640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Tube Trach Fen L.p.cuff Sz 4","code_information":[{"code":"49501","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":780,"gross_charge":853,"discounted_cash":640,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":768},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Ex.fix. Clamp Universal","code_information":[{"code":"48125","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":780,"gross_charge":852,"discounted_cash":639,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"Us Needle Placement","code_information":[{"code":"39579","type":"CDM"},{"code":"402","type":"RC"},{"code":"76942","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":780,"gross_charge":852,"discounted_cash":639,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":780},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":375}]}]},{"description":"26011 Drain Finger Absces, Compliaced","code_information":[{"code":"CP17585603283863127","type":"CDM"},{"code":"510","type":"RC"},{"code":"26011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":777,"gross_charge":849,"discounted_cash":637,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Removal Fb Foot Subcutaneous","code_information":[{"code":"65346","type":"CDM"},{"code":"450","type":"RC"},{"code":"28190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":777,"gross_charge":849,"discounted_cash":637,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Drain External Ear; Simple","code_information":[{"code":"65941","type":"CDM"},{"code":"450","type":"RC"},{"code":"69000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":176,"maximum":777,"gross_charge":849,"discounted_cash":637,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":777},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":374}]}]},{"description":"Cath Suprapubic Cystocath","code_information":[{"code":"49556","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":175,"maximum":775,"gross_charge":847,"discounted_cash":635,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":775},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":762},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":373}]}]},{"description":"Complex Repair And Closure 1.1-2.5cm","code_information":[{"code":"CP17585600566601653","type":"CDM"},{"code":"521","type":"RC"},{"code":"13131","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":175,"maximum":773,"gross_charge":845,"discounted_cash":634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":372}]}]},{"description":"Complex Repair And Closure 1.1-2.5cm","code_information":[{"code":"CP17585603283918966","type":"CDM"},{"code":"510","type":"RC"},{"code":"13131","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":175,"maximum":773,"gross_charge":845,"discounted_cash":634,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":773},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":761},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":372}]}]},{"description":"26775 Ip Disloc, Clsd Reduct, W/anes","code_information":[{"code":"CP17585603283875415","type":"CDM"},{"code":"510","type":"RC"},{"code":"26775","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":769,"gross_charge":840,"discounted_cash":630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":370}]}]},{"description":"Recovery General Anesthesia","code_information":[{"code":"13100","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP13100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":769,"gross_charge":840,"discounted_cash":630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":370}]}]},{"description":"Recovery Regional","code_information":[{"code":"13102","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP13102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":174,"maximum":769,"gross_charge":840,"discounted_cash":630,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":769},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":722},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":370}]}]},{"description":"Staple Reload Unit Linear 30mm","code_information":[{"code":"50218","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":767,"gross_charge":838,"discounted_cash":629,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":767},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":754},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":369}]}]},{"description":"12035 Repair Inter S,a,tr,ex 12.6cm-20.0","code_information":[{"code":"CP17585603283839716","type":"CDM"},{"code":"510","type":"RC"},{"code":"12035","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":766,"gross_charge":837,"discounted_cash":628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":368}]}]},{"description":"Us Breast Completebilateral","code_information":[{"code":"39492-50","type":"CDM"},{"code":"402","type":"RC"},{"code":"76641","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":173,"maximum":766,"gross_charge":837,"discounted_cash":628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":368}]}]},{"description":"Aspiration Of Bladder By Needle","code_information":[{"code":"65478","type":"CDM"},{"code":"450","type":"RC"},{"code":"51100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":766,"gross_charge":837,"discounted_cash":628,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":766},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":753},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":720},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":368}]}]},{"description":"Ex.fix. Rod 11.0mm X 350mm","code_information":[{"code":"48121","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":765,"gross_charge":836,"discounted_cash":627,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":765},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":368}]}]},{"description":"Albumin (Human) 25% W/ Set 50ml","code_information":[{"code":"47021","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP47021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":764,"gross_charge":835,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":367}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"24530 Closed-supra/tran Hum Fx Wo/mani","code_information":[{"code":"CP17585603283868172","type":"CDM"},{"code":"510","type":"RC"},{"code":"24530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":764,"gross_charge":835,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":367}]}]},{"description":"Ct Low Dose Lung Cancer Screening","code_information":[{"code":"39516","type":"CDM"},{"code":"350","type":"RC"},{"code":"71271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":173,"maximum":764,"gross_charge":835,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":764},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":718},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":367}]}]},{"description":"Diagnostic exam of large bowel using an endoscope","code_information":[{"code":"CP17585603283900132","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"45378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":763,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":367}]}]},{"description":"G0121 Colorectal Ca Screen;non-high Risk","code_information":[{"code":"CP17585603283914674","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0121","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":763,"gross_charge":834,"discounted_cash":626,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":701},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":763},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":367}]}]},{"description":"Titanium Suture Anchor 5.0mm","code_information":[{"code":"52845","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":760,"gross_charge":831,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"11450 Exc Hidradenitis Axillary W Rpr","code_information":[{"code":"CP17585600566580569","type":"CDM"},{"code":"521","type":"RC"},{"code":"11450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":760,"gross_charge":831,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"11450 Exc Hidradenitis Axillary W Rpr","code_information":[{"code":"CP17585603283831196","type":"CDM"},{"code":"510","type":"RC"},{"code":"11450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":760,"gross_charge":831,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":760},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":366}]}]},{"description":"Breast Binder Size Large","code_information":[{"code":"50052","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":759,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Tube Jejunal Feeding Otg 10fr    (B4086)","code_information":[{"code":"50150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":759,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Breast Binder Size 2xlarge","code_information":[{"code":"50221","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":759,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"Plate Ti Semi-tubular 7 Hole","code_information":[{"code":"50914","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":172,"maximum":759,"gross_charge":830,"discounted_cash":623,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":759},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":365}]}]},{"description":"20670 Removal Implant, Super (Sep Proc)","code_information":[{"code":"CP17585603283846316","type":"CDM"},{"code":"510","type":"RC"},{"code":"20670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":758,"gross_charge":828,"discounted_cash":621,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":364}]}]},{"description":"Thoracentesis W/o Imaging","code_information":[{"code":"65466","type":"CDM"},{"code":"450","type":"RC"},{"code":"32554","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":758,"gross_charge":828,"discounted_cash":621,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":364}]}]},{"description":"Thoracentesis W/ Imaging","code_information":[{"code":"65545","type":"CDM"},{"code":"450","type":"RC"},{"code":"32555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":758,"gross_charge":828,"discounted_cash":621,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":758},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":364}]}]},{"description":"Albuterol/ipatropium Inh. 4gm","code_information":[{"code":"303294","type":"CDM"},{"code":"637","type":"RC"},{"code":"59700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":756,"gross_charge":826,"discounted_cash":620,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":363}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Laparoscopy, Surgical, Abdomen, Peritone","code_information":[{"code":"CP17585603283943116","type":"CDM"},{"code":"510","type":"RC"},{"code":"49322","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":756,"gross_charge":826,"discounted_cash":620,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Hto Drill/pin Set Disposable","code_information":[{"code":"48065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":756,"gross_charge":826,"discounted_cash":620,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"Hto Saw Blade 1  Hall Compatable","code_information":[{"code":"48080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":756,"gross_charge":826,"discounted_cash":620,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":756},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":".Red Blodd Cells-autologous/storage&proc","code_information":[{"code":"22017","type":"CDM"},{"code":"390","type":"RC"},{"code":"CP22017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":171,"maximum":755,"gross_charge":825,"discounted_cash":619,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":755},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":743},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":363}]}]},{"description":"27340 Excision Prepatellar Bursa","code_information":[{"code":"CP17585603283879480","type":"CDM"},{"code":"510","type":"RC"},{"code":"27340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":752,"gross_charge":822,"discounted_cash":617,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":752},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":740},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":362}]}]},{"description":"Amb Or Minor / Proc Rmacuity Level 1","code_information":[{"code":"17201","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":170,"maximum":751,"gross_charge":821,"discounted_cash":616,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":751},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":739},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":361}]}]},{"description":"27840 Cl Tx Ankle Disloc W/o Anesthesia","code_information":[{"code":"CP17585603283889767","type":"CDM"},{"code":"510","type":"RC"},{"code":"27840","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":818,"discounted_cash":614,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":360}]}]},{"description":"Dantrolene Vial 20mg","code_information":[{"code":"300455","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023012306","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Epinephrine Vial 10mg/10ml","code_information":[{"code":"312253","type":"CDM"},{"code":"250","type":"RC"},{"code":"54288012001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Eptifibatide Vial 75mg/100ml","code_information":[{"code":"310144","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457063110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Hepatitis B Vaccine Adult 20mcg/ml","code_information":[{"code":"302163","type":"CDM"},{"code":"250","type":"RC"},{"code":"58160082143","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Insulin N 300units/3ml","code_information":[{"code":"304530-1","type":"CDM"},{"code":"637","type":"RC"},{"code":"28315","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":300,"type":"UN"}},{"description":"Iron Sucrose Vial 200mg/10ml","code_information":[{"code":"306099","type":"CDM"},{"code":"636","type":"RC"},{"code":"51723","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Levothyroxine Vial 100mcg","code_information":[{"code":"304565","type":"CDM"},{"code":"250","type":"RC"},{"code":"24201000201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Thrombin Vial 5000units","code_information":[{"code":"302767","type":"CDM"},{"code":"250","type":"RC"},{"code":"33803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":5000,"type":"UN"}},{"description":"Phytonadione Amp 10mg/1ml","code_information":[{"code":"300113","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-topotecan Vial 4mg","code_information":[{"code":"304136","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9351","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin N 300units/3ml","code_information":[{"code":"304530","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304530","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trypan Blue 0.06% Syringe 0.5ml","code_information":[{"code":"309345","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP309345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Remimazolam Vial 20mg","code_information":[{"code":"312999","type":"CDM"},{"code":"636","type":"RC"},{"code":"71390001111","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Sodium Phosphate Vial 45mmol/15ml","code_information":[{"code":"312519","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Measles, Mumps, Rubella Vaccine","code_information":[{"code":"302036","type":"CDM"},{"code":"250","type":"RC"},{"code":"90707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Penicillin G Benz Inj: 2.4 Mu","code_information":[{"code":"302887","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP302887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-erythropoetin Inj.  4,000units/ml","code_information":[{"code":"304018","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-erythropoetin-esed Inj. 4,000units/ml","code_information":[{"code":"304116","type":"CDM"},{"code":"634","type":"RC"},{"code":"Q4081","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Epipen 0.3mg: A-inj","code_information":[{"code":"304201","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-gemcitabine Inj. 2gm","code_information":[{"code":"304491","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9201","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-etoposide Vial 500mg","code_information":[{"code":"304126","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":748,"gross_charge":817,"discounted_cash":613,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":748},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":735},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Plate Ti 1/3 Tubular 6 Hole","code_information":[{"code":"50714","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50714","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":747,"gross_charge":816,"discounted_cash":612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}]},{"description":"49500 Rpr Inguinal Hernia Under 5yrs","code_information":[{"code":"CP17585603283903965","type":"CDM"},{"code":"510","type":"RC"},{"code":"49500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":169,"maximum":747,"gross_charge":816,"discounted_cash":612,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":747},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":734},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":359}]}]},{"description":"Wound Vac Granufoam Ag Dress Sml","code_information":[{"code":"52220","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP52220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 12fr","code_information":[{"code":"49438","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49438","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 14fr","code_information":[{"code":"49439","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49439","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 16fr","code_information":[{"code":"49440","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49440","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 18fr","code_information":[{"code":"49441","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49441","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 20fr","code_information":[{"code":"49442","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49442","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 22fr","code_information":[{"code":"49443","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Uro Follower Bougie Olive Tip 24fr","code_information":[{"code":"49444","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":745,"gross_charge":814,"discounted_cash":611,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":745},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":733},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Expiratory Valve Set","code_information":[{"code":"53056","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":744,"gross_charge":813,"discounted_cash":610,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":744},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":732},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":358}]}]},{"description":"Plate Ti 1/3 Tubular 8 Hole","code_information":[{"code":"50716","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50716","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":742,"gross_charge":811,"discounted_cash":608,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":357}]}]},{"description":"Plate Ti 1/3 Tubular 10 Hole","code_information":[{"code":"50717","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50717","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":168,"maximum":742,"gross_charge":811,"discounted_cash":608,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":742},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":730},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":357}]}]},{"description":"28575 Cl Tx Talotarsal Jt Disl W Anesth","code_information":[{"code":"CP17585603283889999","type":"CDM"},{"code":"510","type":"RC"},{"code":"28575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":737,"gross_charge":806,"discounted_cash":605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Repair, Extensor Tendon,leg, Primary,w/o Graft, Each  Tendon","code_information":[{"code":"CP17585603283945781","type":"CDM"},{"code":"510","type":"RC"},{"code":"27664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":737,"gross_charge":806,"discounted_cash":605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Retractor Ring 28.6cm X 18.3cm Disp","code_information":[{"code":"50354","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50354","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":737,"gross_charge":806,"discounted_cash":605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Retractor Ring Stays","code_information":[{"code":"50355","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50355","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":167,"maximum":737,"gross_charge":806,"discounted_cash":605,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":355}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  94mm 7h","code_information":[{"code":"52363","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X 42 Mm 3h","code_information":[{"code":"52707","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52707","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X 55 Mm 4h","code_information":[{"code":"52708","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52708","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Spinal Puncture Lumbar Diagnostic","code_information":[{"code":"65384","type":"CDM"},{"code":"450","type":"RC"},{"code":"62270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Inj Anes Agt Trgemnl Nrv Oth Perph/brnch","code_information":[{"code":"65386","type":"CDM"},{"code":"450","type":"RC"},{"code":"64450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Sciatic Nerve Block","code_information":[{"code":"65486","type":"CDM"},{"code":"450","type":"RC"},{"code":"64445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":737,"gross_charge":805,"discounted_cash":604,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":737},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"24600 Tx Cl Elbow Dislocation W/o Anesth","code_information":[{"code":"CP17585603283862874","type":"CDM"},{"code":"510","type":"RC"},{"code":"24600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":736,"gross_charge":804,"discounted_cash":603,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Cable Assembly Long Gtr 1.8mm X 635mm","code_information":[{"code":"50454","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":166,"maximum":736,"gross_charge":804,"discounted_cash":603,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":736},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":354}]}]},{"description":"Support Lumbosacral Xlrg W/thermoplastic","code_information":[{"code":"50250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Support Lumbosacral Lrg W/thermoplastic","code_information":[{"code":"50255","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Nail Cort.screw 5.0mm Dia X3.5mm X35mm","code_information":[{"code":"51143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Fem Nail Cort.screw 5.0mm X40mm","code_information":[{"code":"51837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Nail Cort.screw 5.0mm Dia X3.5mm X37.5mm","code_information":[{"code":"51841","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Tibial Nail Cort.screw 5.0mm X32.5mmfull","code_information":[{"code":"51964","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Im Nail Cort.screw 5.0mm X45mm Full","code_information":[{"code":"51966","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Im Nail Cort.screw 5.0mm X50mm Full","code_information":[{"code":"52073","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Im Nail Cort.screw 5.0mm X52.5mm Full","code_information":[{"code":"52407","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52407","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":731,"gross_charge":799,"discounted_cash":599,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":731},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":352}]}]},{"description":"Rr-darbepoetin Inj.   25mcg/0.42ml","code_information":[{"code":"304015","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0881","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":729,"gross_charge":797,"discounted_cash":598,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":729},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":717},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":351}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw Cann.6.5mm X105mmx16mm Thread","code_information":[{"code":"53105","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":165,"maximum":728,"gross_charge":796,"discounted_cash":597,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":728},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":350}]}]},{"description":"Plate Ti 1/3 Tubular 7 Hole","code_information":[{"code":"50715","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50715","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":727,"gross_charge":794,"discounted_cash":596,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":727},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":715},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":349}]}]},{"description":"Ligation, Division, And/or Excision Of Varicose Vein Cluster(s) 1 Leg","code_information":[{"code":"CP17585603283945629","type":"CDM"},{"code":"510","type":"RC"},{"code":"37785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":725,"gross_charge":792,"discounted_cash":594,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":725},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":713},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Fluticasone/salmeterol Inh. 500/50mcg","code_information":[{"code":"303962-85","type":"CDM"},{"code":"637","type":"RC"},{"code":"54032","type":"CPT","modifier":"85"}],"standard_charges":[{"setting":"outpatient","modifier_code":["85"],"minimum":164,"maximum":724,"gross_charge":791,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fluticasone/salmeterol Inh. 500/50mcg","code_information":[{"code":"303962","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":724,"gross_charge":791,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Repair Face Skin, External Approach","code_information":[{"code":"CP17585603283946748","type":"CDM"},{"code":"510","type":"RC"},{"code":"12054","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":164,"maximum":724,"gross_charge":791,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":724},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Arthro Knife Banana Straight Single Use","code_information":[{"code":"48927","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping  6mm","code_information":[{"code":"50668","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping  7mm","code_information":[{"code":"50669","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50669","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping  8mm","code_information":[{"code":"50670","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50670","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping  9mm","code_information":[{"code":"50671","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50671","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 10mm","code_information":[{"code":"50672","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50672","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 11mm","code_information":[{"code":"50673","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 13mm","code_information":[{"code":"50675","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50675","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 20mm","code_information":[{"code":"50679","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 22mm","code_information":[{"code":"50680","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50680","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 24mm","code_information":[{"code":"50681","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50681","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 26mm","code_information":[{"code":"50682","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 28mm","code_information":[{"code":"50683","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 30mm","code_information":[{"code":"50684","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50684","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Screw Ti Cort.2.4mm Self Tapping 32mm","code_information":[{"code":"50685","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":723,"gross_charge":790,"discounted_cash":593,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":723},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":711},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":348}]}]},{"description":"Aperfixii Cann Tibial 9x30mm","code_information":[{"code":"53094","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":721,"gross_charge":788,"discounted_cash":591,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":721},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":347}]}]},{"description":"12044  Lay Clos Nhf Ext Gen 7.6-12.5cm","code_information":[{"code":"CP17585603283832349","type":"CDM"},{"code":"510","type":"RC"},{"code":"12044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":719,"gross_charge":786,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":346}]}]},{"description":"24500 Cl Tx Humeral Shaft Fx Wo Manip","code_information":[{"code":"CP17585603283869658","type":"CDM"},{"code":"510","type":"RC"},{"code":"24500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":163,"maximum":719,"gross_charge":786,"discounted_cash":590,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":719},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":676},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":346}]}]},{"description":"Guide Pin 2.5mm X 230mm Threaded","code_information":[{"code":"48334","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48334","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":716,"gross_charge":782,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  68mm 5h","code_information":[{"code":"51091","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":716,"gross_charge":782,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"Plate Uls 1/3 Tubular 3.5mm X  81mm 6h","code_information":[{"code":"52709","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":716,"gross_charge":782,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"28476 Perc Skel Fix Metatarsal Fx W Manp","code_information":[{"code":"CP17585603283883131","type":"CDM"},{"code":"510","type":"RC"},{"code":"28476","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":162,"maximum":716,"gross_charge":782,"discounted_cash":587,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":716},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":704},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":344}]}]},{"description":"Ex.fix. Schanz Screw 4.5mm X 150mm","code_information":[{"code":"48108","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":714,"gross_charge":780,"discounted_cash":585,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":714},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":343}]}]},{"description":"23505 Closed-clavical Fract W/manip","code_information":[{"code":"CP17585603283865251","type":"CDM"},{"code":"510","type":"RC"},{"code":"23505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":712,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":342}]}]},{"description":"Screw Ss Dhs/dcs Compression 36mm","code_information":[{"code":"48335","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":161,"maximum":712,"gross_charge":778,"discounted_cash":584,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":712},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":700},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":342}]}]},{"description":"Breast Binder Size Small","code_information":[{"code":"50064","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":710,"gross_charge":776,"discounted_cash":582,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":710},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":341}]}]},{"description":"Ex.fix. Stein.half Pin 4.0mm X 120mm","code_information":[{"code":"48153","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":709,"gross_charge":775,"discounted_cash":581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":709},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":341}]}]},{"description":"44388 Colonoscopy Thru Stoma","code_information":[{"code":"CP17585603283896454","type":"CDM"},{"code":"510","type":"RC"},{"code":"44388","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":708,"gross_charge":774,"discounted_cash":581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":341}]}]},{"description":"I/d Pilonidal Cyst","code_information":[{"code":"65302","type":"CDM"},{"code":"450","type":"RC"},{"code":"10080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":708,"gross_charge":774,"discounted_cash":581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":341}]}]},{"description":"Lap Trocar Disp  5mm 75mm Cannula Short","code_information":[{"code":"52080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":708,"gross_charge":774,"discounted_cash":581,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":708},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":341}]}]},{"description":"24105 Excision Olecranon Bursa","code_information":[{"code":"CP17585603283861481","type":"CDM"},{"code":"510","type":"RC"},{"code":"24105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":707,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Barium Enema","code_information":[{"code":"39005","type":"CDM"},{"code":"320","type":"RC"},{"code":"74270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":707,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Injection Procedure For Urethrociptogram","code_information":[{"code":"39112","type":"CDM"},{"code":"761","type":"RC"},{"code":"51610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":707,"gross_charge":773,"discounted_cash":580,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":707},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Laparoscopy, Surgical, Abdomen, Peritone","code_information":[{"code":"CP17585603283948226","type":"CDM"},{"code":"510","type":"RC"},{"code":"49321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":160,"maximum":706,"gross_charge":772,"discounted_cash":579,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":706},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":340}]}]},{"description":"Lap Irrig/suction Strykeflow","code_information":[{"code":"50067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":705,"gross_charge":771,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Plate Ti 1/3 Tubular 5 Hole","code_information":[{"code":"50713","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50713","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":705,"gross_charge":771,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Plate Ti Semi-tubular 6 Hole","code_information":[{"code":"50913","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50913","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":705,"gross_charge":771,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Ct Scanogram Bone Length","code_information":[{"code":"39514","type":"CDM"},{"code":"350","type":"RC"},{"code":"77073","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":705,"gross_charge":770,"discounted_cash":578,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":705},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":693},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":339}]}]},{"description":"Clinimix E D15w  5%aa  2000ml","code_information":[{"code":"304279","type":"CDM"},{"code":"250","type":"RC"},{"code":"33870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":703,"gross_charge":768,"discounted_cash":576,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":703},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":338}]}],"drug_information":{"unit":2000,"type":"ML"}},{"description":"26320 Removal Of Inplant From Finger/hnd","code_information":[{"code":"CP17585603283869918","type":"CDM"},{"code":"510","type":"RC"},{"code":"26320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":702,"gross_charge":767,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":337}]}]},{"description":"Excision Of Tumor, Soft Tissue Of Face Or Scalp Less Than 2 Cm","code_information":[{"code":"CP17585603283911421","type":"CDM"},{"code":"510","type":"RC"},{"code":"21011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":159,"maximum":702,"gross_charge":767,"discounted_cash":575,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":702},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":337}]}]},{"description":"Support Lumbosacral Med. W/thermoplastic","code_information":[{"code":"50184","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50184","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":699,"gross_charge":764,"discounted_cash":573,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":699},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":657},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":336}]}]},{"description":"15002 Surgical Prep For Skin Graft","code_information":[{"code":"CP17585603283836948","type":"CDM"},{"code":"510","type":"RC"},{"code":"15002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":698,"gross_charge":763,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":698},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":687},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":336}]}]},{"description":"Lumbar (W Obl/flex/ext)","code_information":[{"code":"39172","type":"CDM"},{"code":"320","type":"RC"},{"code":"72114","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":158,"maximum":697,"gross_charge":762,"discounted_cash":572,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":697},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"27750 Closed Tibial Shaft Fx, W/o Mani","code_information":[{"code":"CP17585603283888505","type":"CDM"},{"code":"510","type":"RC"},{"code":"27750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":696,"gross_charge":761,"discounted_cash":571,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":696},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":335}]}]},{"description":"Transcutaneous Pacer","code_information":[{"code":"65489","type":"CDM"},{"code":"450","type":"RC"},{"code":"92953","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":695,"gross_charge":760,"discounted_cash":570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Cardioversion/defibrillation","code_information":[{"code":"65490","type":"CDM"},{"code":"450","type":"RC"},{"code":"92960","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":695,"gross_charge":760,"discounted_cash":570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Newborn Resucitation","code_information":[{"code":"65940","type":"CDM"},{"code":"450","type":"RC"},{"code":"99465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":695,"gross_charge":760,"discounted_cash":570,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":695},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":684},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"Cannula Percutaneous 2.7mm","code_information":[{"code":"52640","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":157,"maximum":694,"gross_charge":759,"discounted_cash":569,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":694},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":334}]}]},{"description":"12053 Layer Closure Feenlmm 5.1-7.5cm","code_information":[{"code":"CP17585603283833336","type":"CDM"},{"code":"510","type":"RC"},{"code":"12053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":692,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":"25110 Exc Les Tend Sheath Fore A/o Wrist","code_information":[{"code":"CP17585603283868465","type":"CDM"},{"code":"510","type":"RC"},{"code":"25110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":692,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":".Molecular Pathology Procedure, Level 5","code_information":[{"code":"757335","type":"CDM"},{"code":"310","type":"RC"},{"code":"81404","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":692,"gross_charge":756,"discounted_cash":567,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":692},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":333}]}]},{"description":"Arthro Hook Coagulator Single Use","code_information":[{"code":"48929","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":691,"gross_charge":755,"discounted_cash":566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":691},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":680},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":332}]}]},{"description":"Excision Facial Lesion >2 Cm","code_information":[{"code":"CP17585603283913824","type":"CDM"},{"code":"510","type":"RC"},{"code":"21012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":690,"gross_charge":754,"discounted_cash":566,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":690},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":332}]}]},{"description":"Uro Cutting Loop (E-surg) 27fr","code_information":[{"code":"49080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":688,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Uro Cutting Loop (E-surg) 24fr","code_information":[{"code":"49777","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49777","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":688,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Electrosurg Coag.electrode Ball Tip 24fr","code_information":[{"code":"50116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":688,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Uro Cold Knife Straight Sachae","code_information":[{"code":"50241","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":688,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Plate Ti 1/3 Tubular 4 Hole","code_information":[{"code":"50712","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":156,"maximum":688,"gross_charge":752,"discounted_cash":564,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":688},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":331}]}]},{"description":"Breast Binder Size X-large","code_information":[{"code":"50053","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":686,"gross_charge":750,"discounted_cash":563,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":686},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":330}]}]},{"description":"Reposition Lft Acromioclavicular Joint Open Approach","code_information":[{"code":"CP17585603283942346","type":"CDM"},{"code":"510","type":"RC"},{"code":"23545","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":155,"maximum":685,"gross_charge":749,"discounted_cash":562,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":685},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":330}]}]},{"description":"Im Nail Trocar Pin 4.0mm X 240mm","code_information":[{"code":"48357","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48357","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":683,"gross_charge":746,"discounted_cash":560,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":683},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":328}]}]},{"description":"11624 Exc Malig Lesion Snhfg Over 3.1-4c","code_information":[{"code":"CP17585600566583979","type":"CDM"},{"code":"521","type":"RC"},{"code":"11624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":682,"gross_charge":745,"discounted_cash":559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":328}]}]},{"description":"11624 Exc Malig Lesion Snhfg Over 3.1-4c","code_information":[{"code":"CP17585603283830974","type":"CDM"},{"code":"510","type":"RC"},{"code":"11624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":682,"gross_charge":745,"discounted_cash":559,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":682},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":328}]}]},{"description":"Fluticasone/vilanterol Inh. 100/25mcg","code_information":[{"code":"308940","type":"CDM"},{"code":"637","type":"RC"},{"code":"17308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":154,"maximum":681,"gross_charge":744,"discounted_cash":558,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":681},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":327}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"25000 Incision, Exterior Tendon Sheath","code_information":[{"code":"CP17585603283862229","type":"CDM"},{"code":"510","type":"RC"},{"code":"25000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":679,"gross_charge":742,"discounted_cash":557,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":679},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":668},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"Ed-crit Care Eval/manage Ea Add 30min","code_information":[{"code":"65013","type":"CDM"},{"code":"450","type":"RC"},{"code":"99292","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":678,"gross_charge":741,"discounted_cash":556,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"Ed-crit Care Eval/manage Ea Add 30min","code_information":[{"code":"65913-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99292","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":153,"maximum":678,"gross_charge":741,"discounted_cash":556,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":678},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"26725 Closed-phal Shaft Frac W/manipul","code_information":[{"code":"CP17585603283874137","type":"CDM"},{"code":"510","type":"RC"},{"code":"26725","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":677,"gross_charge":740,"discounted_cash":555,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":677},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":326}]}]},{"description":"49580 Repair Umbil Hernia Reduc <5 Yr","code_information":[{"code":"CP17585603283909239","type":"CDM"},{"code":"510","type":"RC"},{"code":"49580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":153,"maximum":675,"gross_charge":738,"discounted_cash":554,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":675},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":664},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":325}]}]},{"description":"Olive Wire 1.25mm","code_information":[{"code":"48167","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48167","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":674,"gross_charge":737,"discounted_cash":553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":324}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"69010","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":674,"gross_charge":737,"discounted_cash":553,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":674},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":634},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":324}]}]},{"description":"Plate Reduction Sleeve 3.5/2.7mm","code_information":[{"code":"52634","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":673,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":324}]}]},{"description":"Arthrotomy, With Exploration, Drainage, Or Removal Of Loose Or Foreign Body; Metacarpophalangeal Joint, Each","code_information":[{"code":"CP17585603283905429","type":"CDM"},{"code":"510","type":"RC"},{"code":"26075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":673,"gross_charge":736,"discounted_cash":552,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":673},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":324}]}]},{"description":"27760 Cl Tx Med Mall Fx W/o Manip","code_information":[{"code":"CP17585603283885145","type":"CDM"},{"code":"510","type":"RC"},{"code":"27760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":672,"gross_charge":734,"discounted_cash":551,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"27808 Cl Tx Bimall Ank Fx W/o Manip","code_information":[{"code":"CP17585603283887616","type":"CDM"},{"code":"510","type":"RC"},{"code":"27808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":672,"gross_charge":734,"discounted_cash":551,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":672},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Cold Therapy Pad Hip/back","code_information":[{"code":"48084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Cold Therapy Pad Knee/shoulder","code_information":[{"code":"48085","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Tube Gastrostomy Suction/feeding (B4086)","code_information":[{"code":"49737","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49737","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Lap Trocar Hernia Rpr 5mm Short (Dual)","code_information":[{"code":"50173","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Gardus Overtubes","code_information":[{"code":"52471","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":".Egfr Gene Analysis Common Variants","code_information":[{"code":"758790","type":"CDM"},{"code":"310","type":"RC"},{"code":"81235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566639913","type":"CDM"},{"code":"521","type":"RC"},{"code":"11426","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283912773","type":"CDM"},{"code":"510","type":"RC"},{"code":"11426","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":152,"maximum":671,"gross_charge":733,"discounted_cash":550,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":671},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":323}]}]},{"description":"38500 Biopsy/exc Lymph Nodes Open Superf","code_information":[{"code":"CP17585603283894503","type":"CDM"},{"code":"510","type":"RC"},{"code":"38500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":670,"gross_charge":732,"discounted_cash":549,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":670},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":659},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Ortho Cement Mixing Bowl Mixevac Ii Assy","code_information":[{"code":"48943","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":669,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Ortho Clear  Mix Vacuum Cartridge S/d","code_information":[{"code":"52504","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":669,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Ex.fix. Clamp 3.0/4.0mm To 15.0mm","code_information":[{"code":"48151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":669,"gross_charge":731,"discounted_cash":548,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":669},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":322}]}]},{"description":"Laparoscopy, Surgical, Abdomen, Peritone","code_information":[{"code":"CP17585603283948699","type":"CDM"},{"code":"510","type":"RC"},{"code":"49320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":667,"gross_charge":729,"discounted_cash":547,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":667},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":321}]}]},{"description":"Extractor Oto-rhino Foreign Body Disp","code_information":[{"code":"52194","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":666,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Extractor Nasal Balloon Foreign Body","code_information":[{"code":"53029","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":151,"maximum":666,"gross_charge":728,"discounted_cash":546,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":666},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Epipen Auto-injector 0.3mg","code_information":[{"code":"304277","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP304277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":665,"gross_charge":727,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":320}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Wound Drain Kit 400cc 1/8 Drain W/trocar","code_information":[{"code":"49002","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":665,"gross_charge":727,"discounted_cash":545,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":665},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":320}]}]},{"description":"Us Pelvic Complete","code_information":[{"code":"39075","type":"CDM"},{"code":"402","type":"RC"},{"code":"76856","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Neck/head","code_information":[{"code":"39080","type":"CDM"},{"code":"402","type":"RC"},{"code":"76536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Ultrasound pelvis through vagina","code_information":[{"code":"39087","type":"CDM"},{"code":"402","type":"RC"},{"code":"76830","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Chest","code_information":[{"code":"39091","type":"CDM"},{"code":"402","type":"RC"},{"code":"76604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Abdomen Limited","code_information":[{"code":"39160","type":"CDM"},{"code":"402","type":"RC"},{"code":"76705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Renal Limited","code_information":[{"code":"39161","type":"CDM"},{"code":"402","type":"RC"},{"code":"76775","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Ob Limited","code_information":[{"code":"39164","type":"CDM"},{"code":"402","type":"RC"},{"code":"76815","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Extremity-r Nonvascular","code_information":[{"code":"39289-RT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76881","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Extremity-l Nonvascular","code_information":[{"code":"39290-LT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76881","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Breast Completert","code_information":[{"code":"39364-RT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76641","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Breast Completelt","code_information":[{"code":"39365-LT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76641","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Ob Complete <14 Wks","code_information":[{"code":"39520","type":"CDM"},{"code":"402","type":"RC"},{"code":"76801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Ob Transvaginal","code_information":[{"code":"39522","type":"CDM"},{"code":"402","type":"RC"},{"code":"76817","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Us Aorta","code_information":[{"code":"39613","type":"CDM"},{"code":"402","type":"RC"},{"code":"76775","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Pressure Infusor 3000cc","code_information":[{"code":"49506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":663,"gross_charge":725,"discounted_cash":544,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":663},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Stapler Skin Insorb Subcuticular","code_information":[{"code":"50353","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":724,"discounted_cash":543,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":319}]}]},{"description":"Cmplrpr Fhd/chk/chn/mth/nck/axil/gen/h/f","code_information":[{"code":"65325","type":"CDM"},{"code":"450","type":"RC"},{"code":"13132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Simple Repair Wound Dehiscence","code_information":[{"code":"65440","type":"CDM"},{"code":"450","type":"RC"},{"code":"12020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65499","type":"CDM"},{"code":"450","type":"RC"},{"code":"12036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65501","type":"CDM"},{"code":"450","type":"RC"},{"code":"12044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65502","type":"CDM"},{"code":"450","type":"RC"},{"code":"12045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Complex Repair Trunk","code_information":[{"code":"65510","type":"CDM"},{"code":"450","type":"RC"},{"code":"13100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Complex Repair Trunk","code_information":[{"code":"65511","type":"CDM"},{"code":"450","type":"RC"},{"code":"13101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Cmplrpr Scalp/extremity","code_information":[{"code":"65513","type":"CDM"},{"code":"450","type":"RC"},{"code":"13120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Cmplrpr Scalp/extremity","code_information":[{"code":"65514","type":"CDM"},{"code":"450","type":"RC"},{"code":"13121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Cmplrpr Facial","code_information":[{"code":"65519","type":"CDM"},{"code":"450","type":"RC"},{"code":"13151","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Cmplrpr Facial","code_information":[{"code":"65520","type":"CDM"},{"code":"450","type":"RC"},{"code":"13152","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":150,"maximum":662,"gross_charge":723,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":662},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}]},{"description":"Activated Charcoal Destroyer","code_information":[{"code":"307115","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP307115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":661,"gross_charge":722,"discounted_cash":542,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":661},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":318}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rumi Tip 5.1mm X 6cm Uterine Manpltr Inj","code_information":[{"code":"50363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":660,"gross_charge":721,"discounted_cash":541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Rumi Tip 6.7mm X 6cm Uterine Manpltr Inj","code_information":[{"code":"50364","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":660,"gross_charge":721,"discounted_cash":541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Rumi Tip 6.7mm X 8cm Uterine Manpltr Inj","code_information":[{"code":"50365","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50365","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":660,"gross_charge":721,"discounted_cash":541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"Rumi Tip 6.7mm X10cm Uterine Manpltr Inj","code_information":[{"code":"50366","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":660,"gross_charge":721,"discounted_cash":541,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":660},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":620},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":317}]}]},{"description":"25600 Closed-fract Distal Med W/o Mani","code_information":[{"code":"CP17585603283861707","type":"CDM"},{"code":"510","type":"RC"},{"code":"25600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":149,"maximum":658,"gross_charge":719,"discounted_cash":539,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":658},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":647},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":316}]}]},{"description":"Endscp Sclerotherapy Needle 5mm 230cm","code_information":[{"code":"49714","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49714","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":656,"gross_charge":717,"discounted_cash":538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Mesh 3dmax Mid Large Left","code_information":[{"code":"52539","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52539","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":656,"gross_charge":717,"discounted_cash":538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Mesh 3dmax Mid Large Right","code_information":[{"code":"52540","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":656,"gross_charge":717,"discounted_cash":538,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":656},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"23600 Closed-prox Humerus Fr Wo/manip","code_information":[{"code":"CP17585603283863113","type":"CDM"},{"code":"510","type":"RC"},{"code":"23600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":655,"gross_charge":716,"discounted_cash":537,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":602},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":655},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Ex.fix. Clamp Transverse","code_information":[{"code":"48114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":654,"gross_charge":715,"discounted_cash":536,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":654},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":644},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":315}]}]},{"description":"Endscp Bx Forcep Coated 3.1mm*230cm Algt","code_information":[{"code":"50386","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":148,"maximum":653,"gross_charge":714,"discounted_cash":536,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Us Breast Limitedlt","code_information":[{"code":"39635-LT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":148,"maximum":653,"gross_charge":714,"discounted_cash":536,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"Us Breast Limitedrt","code_information":[{"code":"39636-RT","type":"CDM"},{"code":"402","type":"RC"},{"code":"76642","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":148,"maximum":653,"gross_charge":714,"discounted_cash":536,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":653},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":"1.6mm Standard Cannula","code_information":[{"code":"52629","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":652,"gross_charge":713,"discounted_cash":535,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":652},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":314}]}]},{"description":".Red Blood Cells/storage And Processing","code_information":[{"code":"22002","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9016","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":651,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":".Leukoreduced Rc","code_information":[{"code":"350050","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9016","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":651,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":"Dihydropyrimidine Dehydrogenasequest","code_information":[{"code":"758795","type":"CDM"},{"code":"300","type":"RC"},{"code":"81232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":651,"gross_charge":712,"discounted_cash":534,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":651},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":641},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":313}]}]},{"description":"27520 Closed-patellar Frac W/o Manip","code_information":[{"code":"CP17585603283878936","type":"CDM"},{"code":"510","type":"RC"},{"code":"27520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":650,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"45338 Flex Sig W Removal T,p,l By Snare","code_information":[{"code":"CP17585603283906626","type":"CDM"},{"code":"510","type":"RC"},{"code":"45338","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":650,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Splint Foot Positioner 90deg W/20deg Rot","code_information":[{"code":"50301","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4398","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":650,"gross_charge":710,"discounted_cash":533,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":650},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Wound Vac Granufoam Dressing Small","code_information":[{"code":"50311","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Wound Vac Whitefoam Dress Small","code_information":[{"code":"52153","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 16mm","code_information":[{"code":"51041","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Ribs Bilat W/pa Chst (4 Views Min)","code_information":[{"code":"39052","type":"CDM"},{"code":"320","type":"RC"},{"code":"71111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Abd Comp W Pa Chest","code_information":[{"code":"39121","type":"CDM"},{"code":"320","type":"RC"},{"code":"74022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Lumbar Flex/ext (2-3 Views)","code_information":[{"code":"39159","type":"CDM"},{"code":"320","type":"RC"},{"code":"72120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Cervical Spine (4-5 Views)","code_information":[{"code":"39599","type":"CDM"},{"code":"320","type":"RC"},{"code":"72050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":147,"maximum":649,"gross_charge":709,"discounted_cash":532,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":649},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Mesh Prolene  2.5x4.5 Soft Tissue Patch","code_information":[{"code":"49836","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP49836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":648,"gross_charge":708,"discounted_cash":531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Mesh Large Pre-shaped Keyhole","code_information":[{"code":"52433","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52433","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":648,"gross_charge":708,"discounted_cash":531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Mesh Small Pre-shaped Keyhole","code_information":[{"code":"52434","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":648,"gross_charge":708,"discounted_cash":531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"Mesh Ventral/hernia Repair  2.4 X5.4","code_information":[{"code":"53025","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":648,"gross_charge":708,"discounted_cash":531,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":648},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":312}]}]},{"description":"25111 Exc Of Gang Wrist (Dor Or Vol) Pri","code_information":[{"code":"CP17585603283867534","type":"CDM"},{"code":"510","type":"RC"},{"code":"25111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":646,"gross_charge":706,"discounted_cash":530,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":646},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":311}]}]},{"description":"26605 Closed-metacarpal Fract W/man Ea","code_information":[{"code":"CP17585603283875007","type":"CDM"},{"code":"510","type":"RC"},{"code":"26605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":645,"gross_charge":705,"discounted_cash":529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":310}]}]},{"description":"27816 Closed-trima Ankle Fx, W/o Manip","code_information":[{"code":"CP17585603283885027","type":"CDM"},{"code":"510","type":"RC"},{"code":"27816","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":146,"maximum":645,"gross_charge":705,"discounted_cash":529,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":645},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":310}]}]},{"description":"11643 Exc Mal Les Mar Fce Ers 2.1-3.0","code_information":[{"code":"CP17585600566594461","type":"CDM"},{"code":"521","type":"RC"},{"code":"11643","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":643,"gross_charge":703,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Us Ob Biophysical Profile","code_information":[{"code":"39644","type":"CDM"},{"code":"402","type":"RC"},{"code":"76819","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":643,"gross_charge":703,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":643},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Plate Ti Semi-tubular 5 Hole","code_information":[{"code":"50912","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50912","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":145,"maximum":642,"gross_charge":702,"discounted_cash":527,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":642},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":309}]}]},{"description":"Brimonidine 0.15% Opht Soln. 5ml","code_information":[{"code":"303127","type":"CDM"},{"code":"637","type":"RC"},{"code":"82182077305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":145,"maximum":640,"gross_charge":699,"discounted_cash":524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":640},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":601},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":308}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Staple Reload Unit L.cutter 75mm Thick","code_information":[{"code":"52214","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":639,"gross_charge":698,"discounted_cash":524,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":639},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":628},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"11044 Debride Skin/tiss/mus/bone","code_information":[{"code":"CP17585600566582332","type":"CDM"},{"code":"521","type":"RC"},{"code":"11044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":638,"gross_charge":697,"discounted_cash":523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"11044 Debride Skin/tiss/mus/bone","code_information":[{"code":"CP17585603283834315","type":"CDM"},{"code":"510","type":"RC"},{"code":"11044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":638,"gross_charge":697,"discounted_cash":523,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":638},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":307}]}]},{"description":"27786 Closed-distal Fib Fract W/o Mani","code_information":[{"code":"CP17585603283884189","type":"CDM"},{"code":"510","type":"RC"},{"code":"27786","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":637,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":306}]}]},{"description":"X-Ray of lower back","code_information":[{"code":"39040","type":"CDM"},{"code":"320","type":"RC"},{"code":"72110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":637,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":306}]}]},{"description":"Inf.powerport Implantable 8fr","code_information":[{"code":"53015","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":637,"gross_charge":696,"discounted_cash":522,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":637},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":306}]}]},{"description":"Obs Cervical Ripening Balloon","code_information":[{"code":"52077","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":636,"gross_charge":695,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":636},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":306}]}]},{"description":"26070 Arth W/expl Treatcarpometacarp Jnt","code_information":[{"code":"CP17585603283863001","type":"CDM"},{"code":"510","type":"RC"},{"code":"26070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":144,"maximum":635,"gross_charge":694,"discounted_cash":521,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":635},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":305}]}]},{"description":"Peg Periart.locking 1.8mm X 20mm","code_information":[{"code":"50558","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":633,"gross_charge":692,"discounted_cash":519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"23650 Closed-shoulder Disloc Wo/anes","code_information":[{"code":"CP17585603283864985","type":"CDM"},{"code":"510","type":"RC"},{"code":"23650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":633,"gross_charge":692,"discounted_cash":519,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":633},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"11604 Exc Mal Les Mar Trnk Arms/lgs 3.1","code_information":[{"code":"CP17585600566580612","type":"CDM"},{"code":"521","type":"RC"},{"code":"11604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":632,"gross_charge":691,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":632},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Im Nail Extended End Cap","code_information":[{"code":"51975","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 8mm","code_information":[{"code":"52793","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 9mm","code_information":[{"code":"52794","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52794","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 10mm","code_information":[{"code":"52795","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52795","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 11mm","code_information":[{"code":"52796","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52796","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 12mm","code_information":[{"code":"52797","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52797","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 13mm","code_information":[{"code":"52798","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52798","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 14mm","code_information":[{"code":"52799","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52799","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 15mm","code_information":[{"code":"52800","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52800","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 18mm","code_information":[{"code":"52802","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 20mm","code_information":[{"code":"52803","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 22mm","code_information":[{"code":"52804","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52804","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 24mm","code_information":[{"code":"52805","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 26mm","code_information":[{"code":"52806","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52806","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 28mm","code_information":[{"code":"52807","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52807","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Screw Multi-directional 2.7mm X 30mm","code_information":[{"code":"52808","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Im Nail End Cap 0mm Head Height","code_information":[{"code":"50467","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50467","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":143,"maximum":631,"gross_charge":690,"discounted_cash":518,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":631},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":304}]}]},{"description":"Hex Standard  Cann Screw Driver 2.5mm","code_information":[{"code":"52641","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":630,"gross_charge":688,"discounted_cash":516,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":630},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":303}]}]},{"description":"11406 Exc Benign Tal Over 4.0cm","code_information":[{"code":"CP17585600566589478","type":"CDM"},{"code":"521","type":"RC"},{"code":"11406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":629,"gross_charge":687,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"37609 Temporal Artery Biopsy/ligation","code_information":[{"code":"CP17585603283892141","type":"CDM"},{"code":"510","type":"RC"},{"code":"37609","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":629,"gross_charge":687,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Ed-probs Are Of High Severity-eval","code_information":[{"code":"65010","type":"CDM"},{"code":"450","type":"RC"},{"code":"99284","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":629,"gross_charge":687,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Ed-probs Are Of High Severity-eval","code_information":[{"code":"65910-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99284","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":142,"maximum":629,"gross_charge":687,"discounted_cash":515,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":629},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":618},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":591},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":302}]}]},{"description":"Mesh Pregrip Hernia","code_information":[{"code":"53071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":627,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Mesh Progrip Laparoscopic 10x15cm","code_information":[{"code":"53226","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":627,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Staple Reload Unit L.cutter 75mm Reglr","code_information":[{"code":"52213","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":142,"maximum":627,"gross_charge":685,"discounted_cash":514,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":627},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Screw Canc.4.0mm Part Thrd 25mm","code_information":[{"code":"48957","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":626,"gross_charge":684,"discounted_cash":513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Plate Ti Semi-tubular 4 Hole","code_information":[{"code":"50911","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":626,"gross_charge":684,"discounted_cash":513,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":626},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Diagnostic exam of esophagus, stomach or small bowel using an endoscope","code_information":[{"code":"CP17585603283950209","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"43235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":625,"gross_charge":683,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"Cardiopulmonary Resuscitation","code_information":[{"code":"60193","type":"CDM"},{"code":"410","type":"RC"},{"code":"92950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":625,"gross_charge":683,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":625},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":615},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":301}]}]},{"description":"12034 Lay Closure Satext 7.6-12.5 Cm","code_information":[{"code":"CP17585603283839622","type":"CDM"},{"code":"510","type":"RC"},{"code":"12034","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":624,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Repair Lip Full Thickness Vermilion Only","code_information":[{"code":"65373","type":"CDM"},{"code":"450","type":"RC"},{"code":"40650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":624,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Cricothyrotomy","code_information":[{"code":"65464","type":"CDM"},{"code":"450","type":"RC"},{"code":"31605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":624,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Repair Vermillion Laceration","code_information":[{"code":"65522","type":"CDM"},{"code":"450","type":"RC"},{"code":"40652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":624,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Repair Tongue Laceration","code_information":[{"code":"65525","type":"CDM"},{"code":"450","type":"RC"},{"code":"41252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":624,"gross_charge":682,"discounted_cash":512,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":624},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 22mm","code_information":[{"code":"50528","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50528","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":623,"gross_charge":681,"discounted_cash":511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 24mm","code_information":[{"code":"50529","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50529","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":623,"gross_charge":681,"discounted_cash":511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"Screw Periart.4.0mm Forte Canc.x 28mm","code_information":[{"code":"50552","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50552","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":623,"gross_charge":681,"discounted_cash":511,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":623},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":300}]}]},{"description":"22310 Closed-spine Fracture","code_information":[{"code":"CP17585603283858681","type":"CDM"},{"code":"510","type":"RC"},{"code":"22310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":141,"maximum":622,"gross_charge":680,"discounted_cash":510,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":622},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":612},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 18mm","code_information":[{"code":"48673","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 20mm","code_information":[{"code":"48674","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 22mm","code_information":[{"code":"48679","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 30mm","code_information":[{"code":"48897","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 26mm","code_information":[{"code":"48898","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48898","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Screw Ti Cort.2.4mm 24mm","code_information":[{"code":"48899","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48899","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"46945 Ligation Internal Hemorrhoids","code_information":[{"code":"CP17585603283908147","type":"CDM"},{"code":"510","type":"RC"},{"code":"46945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Chest Drainage Unit Adult Single Chamber","code_information":[{"code":"49289","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":621,"gross_charge":679,"discounted_cash":509,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":621},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":611},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":299}]}]},{"description":"Lap Insuffltn Tubing W/filter Stryker","code_information":[{"code":"52238","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52238","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":619,"gross_charge":677,"discounted_cash":508,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":298}]}]},{"description":"Refobacin Bone Cement R 1x40 Us","code_information":[{"code":"52423","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":619,"gross_charge":676,"discounted_cash":507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":297}]}]},{"description":"Mesh 3dmax Mid Medium Left","code_information":[{"code":"52537","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52537","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":619,"gross_charge":676,"discounted_cash":507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":297}]}]},{"description":"Mesh 3dmax Mid Medium Right","code_information":[{"code":"52538","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":140,"maximum":619,"gross_charge":676,"discounted_cash":507,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":619},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":297}]}]},{"description":"31622 Bronchoscopy Flex/rigid W W/o","code_information":[{"code":"CP17585603283895219","type":"CDM"},{"code":"510","type":"RC"},{"code":"31622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":617,"gross_charge":674,"discounted_cash":506,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":617},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":297}]}]},{"description":".Transfusion Filter Wbc Removal 2rbc","code_information":[{"code":"49102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":616,"gross_charge":673,"discounted_cash":505,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":616},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":606},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":296}]}]},{"description":"Shaver Burr 4.5mm Slap","code_information":[{"code":"51989","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":614,"gross_charge":671,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Irrig Varicare Wound Mgmt Kit","code_information":[{"code":"50271","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50271","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":614,"gross_charge":671,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":614},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Mask Bi-pap Ff W/headgear Sml-drager","code_information":[{"code":"60364","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Mask Bi-pap Ff W/headgear Med-drager","code_information":[{"code":"60365","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60365","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Mask Bi-pap Ff W/headgear Lrg-drager","code_information":[{"code":"60366","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Excision, Bartholin's Gland/cyst","code_information":[{"code":"CP17585600566637467","type":"CDM"},{"code":"521","type":"RC"},{"code":"56740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"25630 Closed-carpal Bone Fracture Ea","code_information":[{"code":"CP17585603283869496","type":"CDM"},{"code":"510","type":"RC"},{"code":"25630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"Excision, Bartholin's Gland/cyst","code_information":[{"code":"CP17585603283916693","type":"CDM"},{"code":"510","type":"RC"},{"code":"56740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":139,"maximum":613,"gross_charge":670,"discounted_cash":503,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":613},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":295}]}]},{"description":"25622 Closed-wrist Carp Scaph Frac W/m","code_information":[{"code":"CP17585603283864555","type":"CDM"},{"code":"510","type":"RC"},{"code":"25622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":610,"gross_charge":667,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Cath Chol.introducer 8   (Taut)","code_information":[{"code":"50070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":610,"gross_charge":667,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":610},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Ex.fix. Stein.pin 4.5mm X 180mm","code_information":[{"code":"48104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":609,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Ex.fix. Stein.pin 5.0mm X 150mm","code_information":[{"code":"48105","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":609,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Ex.fix. Stein.pin 5.0mm X 180mm","code_information":[{"code":"48106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":609,"gross_charge":666,"discounted_cash":500,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":609},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":573},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"Use Fee Ex.fix. Triax Clamp","code_information":[{"code":"48199","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":138,"maximum":608,"gross_charge":665,"discounted_cash":499,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":608},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":293}]}]},{"description":"12032 Layer Close Wnd Trk/exterm 2.6-7.5","code_information":[{"code":"CP17585603283832979","type":"CDM"},{"code":"510","type":"RC"},{"code":"12032","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":607,"gross_charge":663,"discounted_cash":497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":292}]}]},{"description":"Splint Posterior T/f Knee Adult Plastic","code_information":[{"code":"49952","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":607,"gross_charge":663,"discounted_cash":497,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":607},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":570},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":292}]}]},{"description":"Acetylcysteine Vial 6g/30ml","code_information":[{"code":"304150","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323096330","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":6,"type":"GR"}},{"description":"Albumin 25% Drip 12.5gm/50ml","code_information":[{"code":"306868","type":"CDM"},{"code":"250","type":"RC"},{"code":"68982064301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Betamethasone Vial 30mg/5ml","code_information":[{"code":"300321","type":"CDM"},{"code":"250","type":"RC"},{"code":"51707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Iron Sucrose Vial 100mg/5ml","code_information":[{"code":"304260","type":"CDM"},{"code":"636","type":"RC"},{"code":"51723","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Phytonadione Vial 10mg/1ml","code_information":[{"code":"312236","type":"CDM"},{"code":"250","type":"RC"},{"code":"69097070896","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Tetanus/diphtheria/pertussis Inj 0.5ml","code_information":[{"code":"304430","type":"CDM"},{"code":"636","type":"RC"},{"code":"58160084243","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Ccppmethylprednisolone Acet 40mg/ml","code_information":[{"code":"300486","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Magnivist 46.9% Vial 20ml","code_information":[{"code":"306221","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP306221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 32mm","code_information":[{"code":"48034","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 34mm","code_information":[{"code":"48035","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 20mm","code_information":[{"code":"48036","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 38mm","code_information":[{"code":"48037","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 44mm","code_information":[{"code":"48038","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 40mm","code_information":[{"code":"48092","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 42mm","code_information":[{"code":"48093","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 46mm","code_information":[{"code":"48094","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Screw Cort.5.0mm 48mm","code_information":[{"code":"48095","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"11623 Exc Malig Lesion Snhfg 2.1-3.0cm","code_information":[{"code":"CP17585600566585464","type":"CDM"},{"code":"521","type":"RC"},{"code":"11623","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"11623 Exc Malig Lesion Snhfg 2.1-3.0cm","code_information":[{"code":"CP17585603283836647","type":"CDM"},{"code":"510","type":"RC"},{"code":"11623","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Repair Of Nail Bed","code_information":[{"code":"65308","type":"CDM"},{"code":"450","type":"RC"},{"code":"11760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":137,"maximum":605,"gross_charge":661,"discounted_cash":496,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":605},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":595},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":291}]}]},{"description":"Ex.fix. Apex Pin 3.0mm X  80mm","code_information":[{"code":"48155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":604,"gross_charge":660,"discounted_cash":495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Ex.fix. Apex Pin 3.0mm X 110mm","code_information":[{"code":"48156","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":604,"gross_charge":660,"discounted_cash":495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Aed Defib Pad Adultdefibtech (C.r.)","code_information":[{"code":"50382","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50382","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":604,"gross_charge":660,"discounted_cash":495,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":604},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":594},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":".Nras Gene Analysis Variants Exon 2","code_information":[{"code":"758787","type":"CDM"},{"code":"310","type":"RC"},{"code":"81311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":603,"gross_charge":659,"discounted_cash":494,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":603},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":290}]}]},{"description":"Inf.port Introducer 9fr","code_information":[{"code":"49609","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49609","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":600,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Ex.fix. Stein.half Pin 3.0mm X 110mm","code_information":[{"code":"48152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":136,"maximum":600,"gross_charge":656,"discounted_cash":492,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":600},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":289}]}]},{"description":"Tray Nerve Block","code_information":[{"code":"53157","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53157","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":599,"gross_charge":655,"discounted_cash":491,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":599},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":288}]}]},{"description":"Lap Trocar Stab. Sleeve 12mm For D12lt","code_information":[{"code":"49363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":598,"gross_charge":654,"discounted_cash":491,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":598},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":288}]}]},{"description":"Barium Swallow Modified","code_information":[{"code":"39373","type":"CDM"},{"code":"320","type":"RC"},{"code":"74230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":597,"gross_charge":652,"discounted_cash":489,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":597},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":287}]}]},{"description":"36590 Removal Tunnel Cva Device W Port","code_information":[{"code":"CP17585603283890940","type":"CDM"},{"code":"510","type":"RC"},{"code":"36590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":596,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"40812 Exc Mucosal Lesion W Simple Rpr","code_information":[{"code":"CP17585603283897212","type":"CDM"},{"code":"510","type":"RC"},{"code":"40812","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":135,"maximum":596,"gross_charge":651,"discounted_cash":488,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":596},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":286}]}]},{"description":"Us Pelvic Limited","code_information":[{"code":"39586","type":"CDM"},{"code":"402","type":"RC"},{"code":"76857","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":593,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Sinuses (3 Views Min)","code_information":[{"code":"39058","type":"CDM"},{"code":"320","type":"RC"},{"code":"70220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":593,"gross_charge":648,"discounted_cash":486,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":593},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":583},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Tube Trach Fen Uncuffed Sz 6","code_information":[{"code":"50204","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":592,"gross_charge":647,"discounted_cash":485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Drainage Of Peritoneal Cavity","code_information":[{"code":"CP17585600566610734","type":"CDM"},{"code":"521","type":"RC"},{"code":"49083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":592,"gross_charge":647,"discounted_cash":485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"Drainage Of Peritoneal Cavity","code_information":[{"code":"CP17585603283915339","type":"CDM"},{"code":"510","type":"RC"},{"code":"49083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":134,"maximum":592,"gross_charge":647,"discounted_cash":485,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":592},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":285}]}]},{"description":"12052 Layer Closure Feenlmm 2.6-5.0 Cm","code_information":[{"code":"CP17585603283831701","type":"CDM"},{"code":"510","type":"RC"},{"code":"12052","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":590,"gross_charge":645,"discounted_cash":484,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":590},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":581},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":284}]}]},{"description":"Plate Quarter Tubular 8 Hole","code_information":[{"code":"48726","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48726","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":589,"gross_charge":644,"discounted_cash":483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Cath Seromacath 14g 3.5  W/tubing","code_information":[{"code":"50396","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":589,"gross_charge":644,"discounted_cash":483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"26600 Closed-metacarpal Fract Wo/manip","code_information":[{"code":"CP17585603283873491","type":"CDM"},{"code":"510","type":"RC"},{"code":"26600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":589,"gross_charge":644,"discounted_cash":483,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":589},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Us Echolimited","code_information":[{"code":"39190","type":"CDM"},{"code":"480","type":"RC"},{"code":"93308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":588,"gross_charge":643,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Hto Tibial Locating Needle","code_information":[{"code":"48066","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":588,"gross_charge":643,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Bur Wire Passing 2.0mm X 19.0mm","code_information":[{"code":"48469","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48469","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":588,"gross_charge":643,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":588},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":579},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":283}]}]},{"description":"Screw Periart.locking 3.5mm X 28mm","code_information":[{"code":"50540","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Screw Periart.locking 3.5mm X 30mm","code_information":[{"code":"50542","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Screw Periart.locking 3.5mm X 36mm","code_information":[{"code":"51025","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Screw Periart.locking 3.5mm X 34mm","code_information":[{"code":"51111","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Screw Periart.locking 3.5mm X 35mm","code_information":[{"code":"52953","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52953","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":642,"discounted_cash":482,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":578},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Barium Swallow","code_information":[{"code":"39007","type":"CDM"},{"code":"320","type":"RC"},{"code":"74220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":641,"discounted_cash":481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Temporomand Jts Bilateral (2 View)","code_information":[{"code":"39065","type":"CDM"},{"code":"320","type":"RC"},{"code":"70330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":641,"discounted_cash":481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Endscp Bx Forcep Gi 3.1mm*230cm Algtr","code_information":[{"code":"49034","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":133,"maximum":587,"gross_charge":641,"discounted_cash":481,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":587},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Drainage Of Right Pleural Cavity And Drainage","code_information":[{"code":"CP17585600566618418","type":"CDM"},{"code":"521","type":"RC"},{"code":"32555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":586,"gross_charge":640,"discounted_cash":480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Drainage Of Right Pleural Cavity And Drainage","code_information":[{"code":"CP17585603283913506","type":"CDM"},{"code":"510","type":"RC"},{"code":"32555","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":586,"gross_charge":640,"discounted_cash":480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Us Ob Add Gestation < 14 Wks","code_information":[{"code":"39521","type":"CDM"},{"code":"402","type":"RC"},{"code":"76802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":586,"gross_charge":640,"discounted_cash":480,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":538},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":586},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":282}]}]},{"description":"Rapid Rhino Epistaxis 5.5cm Anterior Arw","code_information":[{"code":"52001","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":585,"gross_charge":639,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":585},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":575},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Cath Radial Artery 20g 8       A4300","code_information":[{"code":"52145","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":584,"gross_charge":638,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"28636 Perc Fix Mtp Jt Disloc W Manip","code_information":[{"code":"CP17585603283883764","type":"CDM"},{"code":"510","type":"RC"},{"code":"28636","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":584,"gross_charge":638,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Closed Treatment Of Ulnar Fr, Prox End Olec Or Coronoid Process W/o Manipulation","code_information":[{"code":"CP17585603283916142","type":"CDM"},{"code":"510","type":"RC"},{"code":"24670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":584,"gross_charge":638,"discounted_cash":479,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":584},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":281}]}]},{"description":"Tube Tracheostomy  6mm","code_information":[{"code":"49250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Tube Tracheostomy  7mm","code_information":[{"code":"49255","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Tube Tracheostomy  8mm","code_information":[{"code":"49256","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49256","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Tube Tracheostomy  9mm","code_information":[{"code":"49257","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49257","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Tube Tracheostomy 10mm","code_information":[{"code":"49260","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"Tourniquet Cuff 42 X4  Disp 2port1bladdr","code_information":[{"code":"52267","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52267","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":132,"maximum":582,"gross_charge":636,"discounted_cash":477,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":582},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":572},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":280}]}]},{"description":"12020 Treatment Wound Dehiscence/simpl","code_information":[{"code":"CP17585603283836256","type":"CDM"},{"code":"510","type":"RC"},{"code":"12020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":580,"gross_charge":634,"discounted_cash":476,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"12042 Layer Closure Nhf Ext G 2.6-7.5cm","code_information":[{"code":"CP17585603283835100","type":"CDM"},{"code":"510","type":"RC"},{"code":"12042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":131,"maximum":580,"gross_charge":634,"discounted_cash":476,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":580},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":571},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":279}]}]},{"description":"20205 Biopsy Muscle Deep","code_information":[{"code":"CP17585603283838987","type":"CDM"},{"code":"510","type":"RC"},{"code":"20205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":577,"gross_charge":631,"discounted_cash":473,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":577},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":278}]}]},{"description":"Retainer Viscera Large","code_information":[{"code":"49515","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":576,"gross_charge":630,"discounted_cash":473,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Osteotome Blade 12mm Cvd","code_information":[{"code":"50797","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50797","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":576,"gross_charge":630,"discounted_cash":473,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Osteotome Blade 12mmx3 Thin","code_information":[{"code":"53185","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53185","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":576,"gross_charge":630,"discounted_cash":473,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Splint Ankle/foot Orthosis Right/large","code_information":[{"code":"49374","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":576,"gross_charge":629,"discounted_cash":472,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":576},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":566},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":277}]}]},{"description":"Wound Care Iodosorb 40gm (Cadexomer Iod)","code_information":[{"code":"50304","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":574,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":276}]}]},{"description":"Triamcinolone(azmacort)inhaler:20 Gm","code_information":[{"code":"300169","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":130,"maximum":574,"gross_charge":627,"discounted_cash":470,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":574},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":539},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":276}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Excision, Malignant Lesion, Trunk, Arms/","code_information":[{"code":"CP17585600566639563","type":"CDM"},{"code":"521","type":"RC"},{"code":"11603","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":569,"gross_charge":622,"discounted_cash":467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"Excision, Malignant Lesion, Trunk, Arms/","code_information":[{"code":"CP17585603283915518","type":"CDM"},{"code":"510","type":"RC"},{"code":"11603","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":129,"maximum":569,"gross_charge":622,"discounted_cash":467,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":569},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":560},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":274}]}]},{"description":"64726 Decompression Plantar Digital Nerv","code_information":[{"code":"CP17585603283906390","type":"CDM"},{"code":"510","type":"RC"},{"code":"64726","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":568,"gross_charge":621,"discounted_cash":466,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":568},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":273}]}]},{"description":"Plate Ti 1/3 Tubular 3 Hole","code_information":[{"code":"50711","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":567,"gross_charge":620,"discounted_cash":465,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":567},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":558},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":273}]}]},{"description":"11444 Exc Ben Les Feenlm 3.1- 4.0 Cm","code_information":[{"code":"CP17585600566587887","type":"CDM"},{"code":"521","type":"RC"},{"code":"11444","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":618,"discounted_cash":464,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"11444 Exc Ben Les Feenlm 3.1- 4.0 Cm","code_information":[{"code":"CP17585603283836798","type":"CDM"},{"code":"510","type":"RC"},{"code":"11444","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":618,"discounted_cash":464,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Wound Vac Therapy Cannister","code_information":[{"code":"50312","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":618,"discounted_cash":464,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":272}]}]},{"description":"Us Spinal Canal/contents","code_information":[{"code":"39513","type":"CDM"},{"code":"402","type":"RC"},{"code":"76800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":617,"discounted_cash":463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Us Soft Tissue","code_information":[{"code":"39631","type":"CDM"},{"code":"402","type":"RC"},{"code":"76882","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":617,"discounted_cash":463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Dermabond Prineo","code_information":[{"code":"52525","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6234","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":128,"maximum":565,"gross_charge":617,"discounted_cash":463,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":565},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"26125 Fasciectomy, Part Palmar, Ea +Digt","code_information":[{"code":"CP17585603283862406","type":"CDM"},{"code":"510","type":"RC"},{"code":"26125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":564,"gross_charge":616,"discounted_cash":462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Anchor Rotator Cuff Juggerknot 2.9mm","code_information":[{"code":"53212","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53212","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":564,"gross_charge":616,"discounted_cash":462,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":564},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":".Fetal Chromosomal Aneuploidy (Eg Trisom","code_information":[{"code":"758389","type":"CDM"},{"code":"300","type":"RC"},{"code":"81420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":563,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":".Fetal Chromosomal Microdeletion(s) Geno","code_information":[{"code":"758592","type":"CDM"},{"code":"300","type":"RC"},{"code":"81422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":563,"gross_charge":615,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":563},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":529},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":271}]}]},{"description":"Zz Rapamune:1mg","code_information":[{"code":"304169","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":562,"gross_charge":614,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":270}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"New patient office or other outpatient visit, 45 min","code_information":[{"code":"69009","type":"CDM"},{"code":"521","type":"RC"},{"code":"99204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":562,"gross_charge":614,"discounted_cash":461,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":562},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Critical Care, Evaluation & Management,","code_information":[{"code":"CP17585600566608039","type":"CDM"},{"code":"521","type":"RC"},{"code":"99291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":561,"gross_charge":613,"discounted_cash":460,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Saw Blade Oscill. Corse Agressive","code_information":[{"code":"52864","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":127,"maximum":561,"gross_charge":613,"discounted_cash":460,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":561},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":270}]}]},{"description":"Plate Quarter Tubular 7 Hole","code_information":[{"code":"48725","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Irrig Interpulse W/ High Flow Tip","code_information":[{"code":"50288","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50288","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Irrig Interpulse High Flow Tip","code_information":[{"code":"52333","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Irrig Interpulse W/ High Flow Tip","code_information":[{"code":"52398","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Crass Flow Inflow Pump Tubing","code_information":[{"code":"52418","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52418","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Irrig Interpulse W/ High Flow Tip","code_information":[{"code":"53143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"Irrig Interpulse  Plus Shower Kit","code_information":[{"code":"53144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":559,"gross_charge":611,"discounted_cash":458,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":559},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":269}]}]},{"description":"25560 Closed-fract Radius & Ulna Wo/ma","code_information":[{"code":"CP17585603283862042","type":"CDM"},{"code":"510","type":"RC"},{"code":"25560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":557,"gross_charge":609,"discounted_cash":457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"Dress Surgicel 3x4 Absorb Hemostat","code_information":[{"code":"50199","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":557,"gross_charge":609,"discounted_cash":457,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":557},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":548},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":".Resp Virus 12-25 Targets","code_information":[{"code":"758831","type":"CDM"},{"code":"300","type":"RC"},{"code":"87633","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":556,"gross_charge":608,"discounted_cash":456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"Lap Cholangiogram Cath 4 Fr (Ranfac)","code_information":[{"code":"50243","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":556,"gross_charge":608,"discounted_cash":456,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":556},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":547},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":268}]}]},{"description":"11770 Exc Pilonidal Cyst/sinus Simple","code_information":[{"code":"CP17585603283834563","type":"CDM"},{"code":"510","type":"RC"},{"code":"11770","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":555,"gross_charge":607,"discounted_cash":455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Fine Needle Aspiration, Biopsy Wo Imagin","code_information":[{"code":"69540","type":"CDM"},{"code":"450","type":"RC"},{"code":"10021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":126,"maximum":555,"gross_charge":607,"discounted_cash":455,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":555},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":267}]}]},{"description":"Pacemaker Pads","code_information":[{"code":"49598","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49598","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":554,"gross_charge":605,"discounted_cash":454,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":554},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":520},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":266}]}]},{"description":"Guide Pin 3.2mm X 230mm Calibrated","code_information":[{"code":"48869","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48869","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":553,"gross_charge":604,"discounted_cash":453,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":553},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":266}]}]},{"description":"10121 Remove Foreign Body Comp","code_information":[{"code":"CP17585600566574643","type":"CDM"},{"code":"521","type":"RC"},{"code":"10121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":552,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"10121 Remove Foreign Body Comp","code_information":[{"code":"CP17585603283828028","type":"CDM"},{"code":"510","type":"RC"},{"code":"10121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":552,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"67840 Removal Eyelid Lesion","code_information":[{"code":"CP17585603283909976","type":"CDM"},{"code":"510","type":"RC"},{"code":"67840","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":125,"maximum":552,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"St Eval Of Sound Prod & Comp+express","code_information":[{"code":"55471-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92523","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":125,"maximum":552,"gross_charge":603,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":552},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Ortho Screw Round Head Int  8x25mm","code_information":[{"code":"52517","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52517","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":551,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Ortho Screw Round Head Int  9x20mm","code_information":[{"code":"52521","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":551,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Ortho Screw Round Head Int  10x20mm","code_information":[{"code":"52522","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52522","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":551,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Ortho Screw Round Head Int  7x25mm","code_information":[{"code":"52565","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52565","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":551,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"46230 Exc Ext Hemorrhoid Tags/papillae","code_information":[{"code":"CP17585603283900503","type":"CDM"},{"code":"510","type":"RC"},{"code":"46230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":551,"gross_charge":602,"discounted_cash":452,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":551},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":265}]}]},{"description":"Tube Jejunostomy Fred-miller 12fr(b4086)","code_information":[{"code":"50149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":550,"gross_charge":601,"discounted_cash":451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Plate Ti 1/3 Tubular 2 Hole","code_information":[{"code":"50710","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":550,"gross_charge":601,"discounted_cash":451,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":550},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"25500 Closed-fract Radius Shaft Wo/man","code_information":[{"code":"CP17585603283864893","type":"CDM"},{"code":"510","type":"RC"},{"code":"25500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":549,"gross_charge":600,"discounted_cash":450,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"49568 Implantation Of Mesh Inc/ventral","code_information":[{"code":"CP17585603283901743","type":"CDM"},{"code":"510","type":"RC"},{"code":"49568","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":124,"maximum":549,"gross_charge":600,"discounted_cash":450,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":549},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":264}]}]},{"description":"Dress Transparent Silicone Mepitel 8 X12","code_information":[{"code":"50294","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":546,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":263}]}]},{"description":"11642 Exc Mal Les Mar Fce Ers 1.1-2.0","code_information":[{"code":"CP17585600566589292","type":"CDM"},{"code":"521","type":"RC"},{"code":"11642","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":546,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":263}]}]},{"description":"11642 Exc Mal Les Mar Fce Ers 1.1-2.0","code_information":[{"code":"CP17585603283831623","type":"CDM"},{"code":"510","type":"RC"},{"code":"11642","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":546,"gross_charge":597,"discounted_cash":448,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":546},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":537},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":263}]}]},{"description":"Mts Jackson Spinal Table Patient Kit","code_information":[{"code":"48344","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48344","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":545,"gross_charge":596,"discounted_cash":447,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":545},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":262}]}]},{"description":"Tourniquet Cuff 18  Disp Dpdb W/o Sleeve","code_information":[{"code":"51999","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":544,"gross_charge":594,"discounted_cash":446,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":544},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":261}]}]},{"description":"Dihydrotestosteronequest","code_information":[{"code":"758163","type":"CDM"},{"code":"300","type":"RC"},{"code":"82642","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":123,"maximum":543,"gross_charge":593,"discounted_cash":445,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":543},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":261}]}]},{"description":".Platelet Concentrates/storage&process","code_information":[{"code":"22003","type":"CDM"},{"code":"390","type":"RC"},{"code":"CP22003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":542,"gross_charge":592,"discounted_cash":444,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":542},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Venom Cannula  20g 150mm 10 Mm","code_information":[{"code":"53154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":541,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"46221 Hemorrhoidectomy Simple Ligation","code_information":[{"code":"CP17585603283908575","type":"CDM"},{"code":"510","type":"RC"},{"code":"46221","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":541,"gross_charge":591,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":541},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Drainage Of Buttock Skin, External Approach","code_information":[{"code":"CP17585600566618294","type":"CDM"},{"code":"521","type":"RC"},{"code":"10081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":540,"gross_charge":590,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Drainage Of Buttock Skin, External Approach","code_information":[{"code":"CP17585603283917827","type":"CDM"},{"code":"510","type":"RC"},{"code":"10081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":122,"maximum":540,"gross_charge":590,"discounted_cash":443,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":540},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":507},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":260}]}]},{"description":"Spinal Muscular Atrophy (Diagnostic)q","code_information":[{"code":"758594","type":"CDM"},{"code":"300","type":"RC"},{"code":"81329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Endscp Hemostasis Clip 2.6mm*235cm","code_information":[{"code":"52256","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52256","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Endscp Hemostasis Clip 2.6mm*165cm","code_information":[{"code":"52257","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52257","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Surg Alumi-hand Hand Immobilizer Xlrg","code_information":[{"code":"50270","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Tourniquet Cuff 34 X4  Disp 2port1bladdr","code_information":[{"code":"52266","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Tourniquet Cuff 34  Disp 2port1bladdr","code_information":[{"code":"52834","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":536,"gross_charge":586,"discounted_cash":440,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":536},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":258}]}]},{"description":"Fluticasone/salmeterol Inh. 250/50mcg","code_information":[{"code":"303961-75","type":"CDM"},{"code":"637","type":"RC"},{"code":"54032","type":"CPT","modifier":"75"}],"standard_charges":[{"setting":"outpatient","modifier_code":["75"],"minimum":121,"maximum":535,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fluticasone/salmeterol Inh. 250/50mcg","code_information":[{"code":"303961","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303961","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":535,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Excision Of Anus, External Approach, Diagnostic","code_information":[{"code":"CP17585603283915869","type":"CDM"},{"code":"510","type":"RC"},{"code":"46922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":535,"gross_charge":585,"discounted_cash":439,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":535},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 34mm","code_information":[{"code":"51107","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 36mm","code_information":[{"code":"51115","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 38mm","code_information":[{"code":"51116","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 40mm","code_information":[{"code":"51117","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Rapid Rhino Epistaxis 4.5cm Anterior","code_information":[{"code":"52151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Rhino Start","code_information":[{"code":"52519","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"I And D Of Abcess Of Eyelid","code_information":[{"code":"CP17585600566672230","type":"CDM"},{"code":"521","type":"RC"},{"code":"67700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"I And D Of Abcess Of Eyelid","code_information":[{"code":"CP17585603283932490","type":"CDM"},{"code":"510","type":"RC"},{"code":"67700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":534,"gross_charge":584,"discounted_cash":438,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":534},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 4.5mm X 65mm","code_information":[{"code":"52093","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 4.5mm X 70mm","code_information":[{"code":"52094","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 4.5mm X 75mm","code_information":[{"code":"52095","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 5.5mm X 50mm","code_information":[{"code":"52101","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 5.5mm X 45mm","code_information":[{"code":"52102","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 5.5mm X 70mm","code_information":[{"code":"52148","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Im Nail Screw Cort 5.5mm X 80mm","code_information":[{"code":"52149","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Splint Ankle/foot Orthosis Left/large","code_information":[{"code":"49373","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Splint Ankle/foot Orthosis Left/medium","code_information":[{"code":"49959","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Splint Ankle/foot Orthosis Right/medium","code_information":[{"code":"50000","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":121,"maximum":533,"gross_charge":583,"discounted_cash":437,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":533},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":257}]}]},{"description":"Biopsy Of Neck/chest","code_information":[{"code":"CP17585600566608017","type":"CDM"},{"code":"521","type":"RC"},{"code":"21550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Biopsy Of Neck/chest","code_information":[{"code":"CP17585603283913225","type":"CDM"},{"code":"510","type":"RC"},{"code":"21550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Thoracic Dorsal Spine (2 Views)","code_information":[{"code":"39017","type":"CDM"},{"code":"320","type":"RC"},{"code":"72070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Facial Bones (3 Views Min)","code_information":[{"code":"39019","type":"CDM"},{"code":"320","type":"RC"},{"code":"70150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Mandible (4 Views Min)","code_information":[{"code":"39042","type":"CDM"},{"code":"320","type":"RC"},{"code":"70110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Mastoids (3 Views Per Side)","code_information":[{"code":"39043","type":"CDM"},{"code":"320","type":"RC"},{"code":"70130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Orbits (4 Views Min)","code_information":[{"code":"39045","type":"CDM"},{"code":"320","type":"RC"},{"code":"70200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Sacroiliac Joints (3 Views Min)","code_information":[{"code":"39053","type":"CDM"},{"code":"320","type":"RC"},{"code":"72202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Skull (4 Views Min)","code_information":[{"code":"39060","type":"CDM"},{"code":"320","type":"RC"},{"code":"70260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Small Bowel Series","code_information":[{"code":"39062","type":"CDM"},{"code":"320","type":"RC"},{"code":"74250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Bone Densitometry Skeletal","code_information":[{"code":"39109","type":"CDM"},{"code":"320","type":"RC"},{"code":"77080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Bone Age","code_information":[{"code":"39124","type":"CDM"},{"code":"320","type":"RC"},{"code":"77072","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Bone Survey (<1 Year)","code_information":[{"code":"39125","type":"CDM"},{"code":"320","type":"RC"},{"code":"77076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Lumbar (2-3 Views)","code_information":[{"code":"39139","type":"CDM"},{"code":"320","type":"RC"},{"code":"72100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Vcug","code_information":[{"code":"39151","type":"CDM"},{"code":"320","type":"RC"},{"code":"74455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Bone Survey Limited","code_information":[{"code":"39185","type":"CDM"},{"code":"320","type":"RC"},{"code":"77074","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Ribs-r W/ Pa Chest (3 Views)","code_information":[{"code":"39223-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71101","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Ribs-l W/ Pa Chest (3 Views)","code_information":[{"code":"39224-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71101","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Hand-r (2 Views)","code_information":[{"code":"39271-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Hand-l (2 Views)","code_information":[{"code":"39272-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Knee-rt (4 Views Min)","code_information":[{"code":"39287-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Knee-lt (4 Views Min)","code_information":[{"code":"39288-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73564","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Hips Bilateral","code_information":[{"code":"39332","type":"CDM"},{"code":"320","type":"RC"},{"code":"73521","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Up Ext-r (<1 Year Of Age)","code_information":[{"code":"39367-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73092","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Up Ext-l (<1 Year Of Age)","code_information":[{"code":"39368-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73092","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Pelvis (3 Views Min)","code_information":[{"code":"39369","type":"CDM"},{"code":"320","type":"RC"},{"code":"72190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Ribs Bilat (<3 Views)","code_information":[{"code":"39437-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"71110","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Ribs Bilat (3 Views Min)","code_information":[{"code":"39438","type":"CDM"},{"code":"320","type":"RC"},{"code":"71110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":532,"gross_charge":581,"discounted_cash":436,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":532},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":256}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"CP17585600566678899","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"CP17585603283941935","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Upper Intestinal Tract Via Natural Artificial Opening","code_information":[{"code":"CP17585603283957890","type":"CDM"},{"code":"510","type":"RC"},{"code":"43244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Chest (4 Views Or More)","code_information":[{"code":"39074","type":"CDM"},{"code":"324","type":"RC"},{"code":"71048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Abdomen (3 Views)","code_information":[{"code":"39120","type":"CDM"},{"code":"320","type":"RC"},{"code":"74021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Injection Sinus Tract","code_information":[{"code":"39405","type":"CDM"},{"code":"761","type":"RC"},{"code":"20501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Iolalcon Acrysof Iq Aspheric Iol","code_information":[{"code":"999088","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2632","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Iolalcon Acrysof Natural","code_information":[{"code":"999089","type":"CDM"},{"code":"276","type":"RC"},{"code":"V2632","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":531,"gross_charge":580,"discounted_cash":435,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":531},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":522},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Tube Jejunostomy Fred-miller  8fr(b4086)","code_information":[{"code":"49791","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49791","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":120,"maximum":530,"gross_charge":579,"discounted_cash":434,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":530},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":255}]}]},{"description":"Pft-spirometry Pre/post Dilator","code_information":[{"code":"60138","type":"CDM"},{"code":"460","type":"RC"},{"code":"94060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":528,"gross_charge":577,"discounted_cash":433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Pft-spirometry Prolonged Post Exposure","code_information":[{"code":"60139","type":"CDM"},{"code":"460","type":"RC"},{"code":"94070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":528,"gross_charge":577,"discounted_cash":433,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":528},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":254}]}]},{"description":"Bur Oval 5.5mm X 10.0mm","code_information":[{"code":"48468","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48468","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Tube  Minione Baloon Button 14fx1.0","code_information":[{"code":"52976","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Tube  Minione Baloon Button 14fx1.5","code_information":[{"code":"52977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"26010 Drainage Of Finger Abscess Simple","code_information":[{"code":"CP17585603283868191","type":"CDM"},{"code":"510","type":"RC"},{"code":"26010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"37780 Revision Leg Vein","code_information":[{"code":"CP17585603283898248","type":"CDM"},{"code":"510","type":"RC"},{"code":"37780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":".Bcr-abl 1 Major Breakpoint","code_information":[{"code":"757227","type":"CDM"},{"code":"310","type":"RC"},{"code":"81206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":527,"gross_charge":576,"discounted_cash":432,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":527},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Mammography of both breasts","code_information":[{"code":"39070","type":"CDM"},{"code":"401","type":"RC"},{"code":"77066","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"39079","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 65mm","code_information":[{"code":"52608","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52608","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 70mm","code_information":[{"code":"52609","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52609","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 75mm","code_information":[{"code":"52610","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 80mm","code_information":[{"code":"52611","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 85mm","code_information":[{"code":"52612","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.locking 3.5mm X 90mm","code_information":[{"code":"52613","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 65mm","code_information":[{"code":"52617","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52617","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Plate Quarter Tubular 6 Hole","code_information":[{"code":"48724","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48724","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"25530 Closed-fract Unla Shaft Wo/manip","code_information":[{"code":"CP17585603283861347","type":"CDM"},{"code":"510","type":"RC"},{"code":"25530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"28190 Removal Of Fb, Foot; Subcutaneous","code_information":[{"code":"CP17585603283889989","type":"CDM"},{"code":"510","type":"RC"},{"code":"28190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"28475 Cl Tx Metatarsal Fx W Manip Each","code_information":[{"code":"CP17585603283881049","type":"CDM"},{"code":"510","type":"RC"},{"code":"28475","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":526,"gross_charge":575,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":526},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"Saw Blade Oscil 13/20mm X 100mm 1.27mm","code_information":[{"code":"52859","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":119,"maximum":525,"gross_charge":574,"discounted_cash":431,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":525},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":253}]}]},{"description":"24650 Cl Tx Radial Head/neck Fracture","code_information":[{"code":"CP17585603283866137","type":"CDM"},{"code":"510","type":"RC"},{"code":"24650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":524,"gross_charge":573,"discounted_cash":430,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":524},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Splint Posterior T/f Knee Youth Plastic","code_information":[{"code":"49951","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":523,"gross_charge":572,"discounted_cash":429,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":523},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":515},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":252}]}]},{"description":"Hip Press Seal #1-4","code_information":[{"code":"48375","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping  6mm","code_information":[{"code":"50640","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping  7mm","code_information":[{"code":"50641","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping  8mm","code_information":[{"code":"50642","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50642","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping  9mm","code_information":[{"code":"50643","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 11mm","code_information":[{"code":"50645","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 16mm","code_information":[{"code":"50649","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 18mm","code_information":[{"code":"50650","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 20mm","code_information":[{"code":"50651","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50651","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 22mm","code_information":[{"code":"50652","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 24mm","code_information":[{"code":"50653","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 26mm","code_information":[{"code":"50654","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50654","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 28mm","code_information":[{"code":"50655","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50655","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 30mm","code_information":[{"code":"50656","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50656","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Screw Ti Cort.2.0mm Self Tapping 32mm","code_information":[{"code":"50657","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Im Nail Screw Cort 4.2mm X 40mm","code_information":[{"code":"50461","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50461","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Im Nail Screw Cort 4.2mm X 55mm","code_information":[{"code":"50465","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50465","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":118,"maximum":521,"gross_charge":569,"discounted_cash":427,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":521},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":512},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":489},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":250}]}]},{"description":"Support Lumbar Lrg","code_information":[{"code":"50289","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50289","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Pink/red","code_information":[{"code":"52346","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52346","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Purple","code_information":[{"code":"52348","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52348","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Yellow","code_information":[{"code":"52349","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 White","code_information":[{"code":"52350","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Blue","code_information":[{"code":"52351","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Orange","code_information":[{"code":"52352","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52352","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow O2 Green","code_information":[{"code":"52353","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Pink/red","code_information":[{"code":"52354","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52354","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Purple","code_information":[{"code":"52355","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52355","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Yellow","code_information":[{"code":"52356","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube White","code_information":[{"code":"52357","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52357","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Blue","code_information":[{"code":"52358","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Orange","code_information":[{"code":"52359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Broselow Intube Green","code_information":[{"code":"52360","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":519,"gross_charge":567,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":519},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":510},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"12051 Layer Closure Feenlmm 2.5cm/less","code_information":[{"code":"CP17585603283830501","type":"CDM"},{"code":"510","type":"RC"},{"code":"12051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":518,"gross_charge":566,"discounted_cash":425,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":518},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"Lap Genral Irr. Tubing","code_information":[{"code":"49076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":517,"gross_charge":565,"discounted_cash":424,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":517},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":249}]}]},{"description":"24065 Bx Arm/elbow Soft Tissue","code_information":[{"code":"CP17585603283862764","type":"CDM"},{"code":"510","type":"RC"},{"code":"24065","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":516,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"31525 Laryngoscopy Direct Diagnostic","code_information":[{"code":"CP17585603283890520","type":"CDM"},{"code":"510","type":"RC"},{"code":"31525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":516,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"46910 Destruction Anal Lesion","code_information":[{"code":"CP17585603283902672","type":"CDM"},{"code":"510","type":"RC"},{"code":"46910","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":516,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"Scoliosis (2-3 Views)","code_information":[{"code":"39648","type":"CDM"},{"code":"320","type":"RC"},{"code":"72082","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":117,"maximum":516,"gross_charge":564,"discounted_cash":423,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":516},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":508},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":248}]}]},{"description":"11622 Exc Malig Lesion Snhfg 1.1-2 Cm","code_information":[{"code":"CP17585600566582350","type":"CDM"},{"code":"521","type":"RC"},{"code":"11622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":514,"gross_charge":562,"discounted_cash":422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"11622 Exc Malig Lesion Snhfg 1.1-2 Cm","code_information":[{"code":"CP17585603283831743","type":"CDM"},{"code":"510","type":"RC"},{"code":"11622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":514,"gross_charge":562,"discounted_cash":422,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":514},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Replace Gastrostomy W/fluro","code_information":[{"code":"65567","type":"CDM"},{"code":"450","type":"RC"},{"code":"49450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":513,"gross_charge":561,"discounted_cash":421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"Air Cushion Full Size  Decubitus Care","code_information":[{"code":"49964","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":513,"gross_charge":561,"discounted_cash":421,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":513},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":247}]}]},{"description":"45331 Sigmoidoscopy Flexible W Bxs","code_information":[{"code":"CP17585603283905448","type":"CDM"},{"code":"510","type":"RC"},{"code":"45331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":116,"maximum":511,"gross_charge":559,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Ortho Cement Pressurizer","code_information":[{"code":"48942","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48942","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":511,"gross_charge":558,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Ortho Small Femoral Canal Pressurizer","code_information":[{"code":"52501","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":511,"gross_charge":558,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Ortho Medium  Femoral Canal Pressurizer","code_information":[{"code":"52502","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":511,"gross_charge":558,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Ortho Large  Femoral Canal Pressurizer","code_information":[{"code":"52503","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":511,"gross_charge":558,"discounted_cash":419,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":511},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":246}]}]},{"description":"Cath Triple Lumen 7fr 30cm         A4300","code_information":[{"code":"49533","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49533","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":509,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Splint Posterior Leaf E.f. Right/large","code_information":[{"code":"50086","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":509,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"Orthosis Afo Addtn Crbn Graphite Lamin","code_information":[{"code":"51062","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2755","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":115,"maximum":509,"gross_charge":556,"discounted_cash":417,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":509},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":245}]}]},{"description":"36569 Insert Picc Line","code_information":[{"code":"CP17585603283896855","type":"CDM"},{"code":"510","type":"RC"},{"code":"36569","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":506,"gross_charge":553,"discounted_cash":415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Lap Mesh Tack Reload Unit 5 Reliatack","code_information":[{"code":"52249","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52249","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":506,"gross_charge":553,"discounted_cash":415,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":506},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 55mm","code_information":[{"code":"50536","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 50mm","code_information":[{"code":"50537","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50537","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 45mm","code_information":[{"code":"50538","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 40mm","code_information":[{"code":"50539","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50539","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 40mm","code_information":[{"code":"50541","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 26mm","code_information":[{"code":"51016","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 24mm","code_information":[{"code":"51024","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 38mm","code_information":[{"code":"51026","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 32mm","code_information":[{"code":"51102","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 42mm","code_information":[{"code":"51103","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 44mm","code_information":[{"code":"51104","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 46mm","code_information":[{"code":"51105","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 54mm","code_information":[{"code":"51106","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 14mm","code_information":[{"code":"51108","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 18mm","code_information":[{"code":"51109","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 20mm","code_information":[{"code":"51110","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 20mm","code_information":[{"code":"51113","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 50mm","code_information":[{"code":"51114","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 16mm","code_information":[{"code":"51124","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 12mm","code_information":[{"code":"51129","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 16mm","code_information":[{"code":"51194","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 22mm","code_information":[{"code":"51195","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 18mm","code_information":[{"code":"52554","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52554","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 20mm","code_information":[{"code":"52555","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52555","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 22mm","code_information":[{"code":"52556","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52556","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 26mm","code_information":[{"code":"52557","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52557","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 28mm","code_information":[{"code":"52558","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52558","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square 2.7mm X 28mm","code_information":[{"code":"52561","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 12mm","code_information":[{"code":"52602","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52602","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 48mm","code_information":[{"code":"52603","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 52mm","code_information":[{"code":"52604","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 56mm","code_information":[{"code":"52605","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 58mm","code_information":[{"code":"52606","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 60mm","code_information":[{"code":"52607","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52607","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Peri.locking Cannulat 3.5mm X 30mm","code_information":[{"code":"52614","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52614","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Peri.locking Cannulat 3.5mm X 35mm","code_information":[{"code":"52615","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52615","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 60mm","code_information":[{"code":"52616","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52616","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 70mm","code_information":[{"code":"52618","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.cann.locking 3.5mm X 90mm","code_information":[{"code":"52619","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52619","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 14mm","code_information":[{"code":"52647","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 12mm","code_information":[{"code":"52759","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52759","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 13mm","code_information":[{"code":"52760","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 14mm","code_information":[{"code":"52761","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 15mm","code_information":[{"code":"52762","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 16mm","code_information":[{"code":"52763","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52763","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 24mm","code_information":[{"code":"52764","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Smooth Lock Peg 2.2mm X 30mm","code_information":[{"code":"52765","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square  2.7mm X 8mm","code_information":[{"code":"52780","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square  2.7mm X 9mm","code_information":[{"code":"52781","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square  2.7mm X 10mm","code_information":[{"code":"52782","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square  2.7mm X 11mm","code_information":[{"code":"52783","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square 2.7mm X 13mm","code_information":[{"code":"52784","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square 2.7mm X 15mm","code_information":[{"code":"52786","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Locking Square 2.7mm X 30mm","code_information":[{"code":"52792","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 3.5mm X 30mm","code_information":[{"code":"52952","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"Screw Periart.locking 2.7mm X 22mm","code_information":[{"code":"52998","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":505,"gross_charge":552,"discounted_cash":414,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":505},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":497},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":243}]}]},{"description":"28400 Closed-calcaneal Fract Wo/manip","code_information":[{"code":"CP17585603283884940","type":"CDM"},{"code":"510","type":"RC"},{"code":"28400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Bur Round 4.0mm","code_information":[{"code":"48465","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48465","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Bur Round 5.0mm","code_information":[{"code":"48466","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Bur Round 6.5mm","code_information":[{"code":"48467","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48467","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Falope-ring","code_information":[{"code":"49434","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49434","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Opt Occu-coat","code_information":[{"code":"49977","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Pin Ti 1.8mm Buttress 18mm","code_information":[{"code":"50686","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50686","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":504,"gross_charge":551,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":504},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Breast Binder Size Medium","code_information":[{"code":"50051","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":503,"gross_charge":550,"discounted_cash":413,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":503},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Hip Press Seal #4-7","code_information":[{"code":"48382","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48382","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":114,"maximum":502,"gross_charge":549,"discounted_cash":412,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":502},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":242}]}]},{"description":"Chest (3 Views)","code_information":[{"code":"39072","type":"CDM"},{"code":"324","type":"RC"},{"code":"71047","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":501,"gross_charge":548,"discounted_cash":411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"Ortho Radial Spray Im Tip Hi-cap 22.86cm","code_information":[{"code":"52529","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52529","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":501,"gross_charge":548,"discounted_cash":411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"Blepharotomy, Drainage Of Abscess, Eyeli","code_information":[{"code":"66000","type":"CDM"},{"code":"450","type":"RC"},{"code":"67700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":501,"gross_charge":548,"discounted_cash":411,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"Knee Immobilizer 24  Xx-lrg","code_information":[{"code":"50083","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":501,"gross_charge":547,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":501},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":241}]}]},{"description":"46080 Sphincterotomy Anal Div Of Sphinct","code_information":[{"code":"CP17585603283909545","type":"CDM"},{"code":"510","type":"RC"},{"code":"46080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":500,"gross_charge":546,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":240}]}]},{"description":"Noz Stop","code_information":[{"code":"49086","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":500,"gross_charge":546,"discounted_cash":410,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":500},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":240}]}]},{"description":"29305 App Of Hip Cast","code_information":[{"code":"CP17585603283887706","type":"CDM"},{"code":"510","type":"RC"},{"code":"29305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":499,"gross_charge":545,"discounted_cash":409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":240}]}]},{"description":"44121 Ea Add Resection/anastomosis","code_information":[{"code":"CP17585603283895308","type":"CDM"},{"code":"510","type":"RC"},{"code":"44121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":113,"maximum":499,"gross_charge":545,"discounted_cash":409,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":499},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":240}]}]},{"description":"Uro Filiform Spiral Tip 2fr","code_information":[{"code":"49316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Spiral Tip 3fr","code_information":[{"code":"49317","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Spiral Tip 4fr","code_information":[{"code":"49318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Spiral Tip 5fr","code_information":[{"code":"49319","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Spiral Tip 6fr","code_information":[{"code":"49320","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Straight Tip 2fr","code_information":[{"code":"49387","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49387","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Straight Tip 3fr","code_information":[{"code":"49388","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49388","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Straight Tip 4fr","code_information":[{"code":"49389","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49389","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Straight Tip 5fr","code_information":[{"code":"49390","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49390","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Uro Filiform Straight Tip 6fr","code_information":[{"code":"49391","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49391","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"11602 Exc Malign Lesion Tal 1.1-2.0 Cm","code_information":[{"code":"CP17585600566586295","type":"CDM"},{"code":"521","type":"RC"},{"code":"11602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"11602 Exc Malign Lesion Tal 1.1-2.0 Cm","code_information":[{"code":"CP17585603283830994","type":"CDM"},{"code":"510","type":"RC"},{"code":"11602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":498,"gross_charge":544,"discounted_cash":408,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":498},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":239}]}]},{"description":"Bur Oval Long 5.5mm X 10mm","code_information":[{"code":"48487","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48487","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Screw Ti Cort.2.7mm 12mm","code_information":[{"code":"48675","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48675","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Screw Ti Cort.2.7mm 14mm","code_information":[{"code":"48676","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48676","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Screw Ti Cort.2.7mm 16mm","code_information":[{"code":"48677","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48677","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Plate Semi-tubular 7 Hole","code_information":[{"code":"48703","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Screw Ti Cort.2.7mm 18mm","code_information":[{"code":"48896","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":496,"gross_charge":542,"discounted_cash":407,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":496},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":488},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":".Immunofluorescent Study, Each Antibody;","code_information":[{"code":"758088","type":"CDM"},{"code":"319","type":"RC"},{"code":"88346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":495,"gross_charge":541,"discounted_cash":406,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":495},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Chest Drain Valve Pneumostat","code_information":[{"code":"52119","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":112,"maximum":494,"gross_charge":540,"discounted_cash":405,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":494},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":238}]}]},{"description":"Esomeprazole (Nexium) Inj 40 Mg Vl","code_information":[{"code":"304340","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Aztreonam Vial 1gm","code_information":[{"code":"305273","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323040120","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Chlorpromazine Amp 50mg/2ml","code_information":[{"code":"311425","type":"CDM"},{"code":"636","type":"RC"},{"code":"64113","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Clonidine Vial 1000mcg/10ml","code_information":[{"code":"304318","type":"CDM"},{"code":"637","type":"RC"},{"code":"67457021810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Protamine Vial 250mg/25ml","code_information":[{"code":"301477","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323022930","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Rr-iron Dextran Vial 100mg/2ml","code_information":[{"code":"310420","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1750","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"10180 I&d Post Op Wound Complex","code_information":[{"code":"CP17585600566574617","type":"CDM"},{"code":"521","type":"RC"},{"code":"10180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"10180 I&d Post Op Wound Complex","code_information":[{"code":"CP17585603283829714","type":"CDM"},{"code":"510","type":"RC"},{"code":"10180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Tourniquet Cuff 30 X4  Disp 2port1bladdr","code_information":[{"code":"52265","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":493,"gross_charge":539,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":493},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 20mm","code_information":[{"code":"50519","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50519","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 16mm","code_information":[{"code":"50530","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50530","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 18mm","code_information":[{"code":"50531","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50531","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 22mm","code_information":[{"code":"50795","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50795","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 12mm","code_information":[{"code":"51122","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 46mm","code_information":[{"code":"51152","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 50mm","code_information":[{"code":"51153","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 54mm","code_information":[{"code":"51154","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":"Ortho Mpf Nitinol Small Guide Wire","code_information":[{"code":"52516","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52516","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":492,"gross_charge":538,"discounted_cash":404,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":492},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":237}]}]},{"description":".Other Breakpoint Qualitative Or Quantit","code_information":[{"code":"758569","type":"CDM"},{"code":"300","type":"RC"},{"code":"81208","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":491,"gross_charge":537,"discounted_cash":403,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":491},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":236}]}]},{"description":"Facial Bones (<3 Views)","code_information":[{"code":"39031","type":"CDM"},{"code":"320","type":"RC"},{"code":"70140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":490,"gross_charge":535,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":235}]}]},{"description":"Mandible (<4 Views)","code_information":[{"code":"39140","type":"CDM"},{"code":"320","type":"RC"},{"code":"70100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":111,"maximum":490,"gross_charge":535,"discounted_cash":401,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":490},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":235}]}]},{"description":"Injection Therapeutic Sub","code_information":[{"code":"CP17585600566670003","type":"CDM"},{"code":"521","type":"RC"},{"code":"62310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":487,"gross_charge":532,"discounted_cash":399,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Injection Therapeutic Sub","code_information":[{"code":"CP17585603283945719","type":"CDM"},{"code":"510","type":"RC"},{"code":"62310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":487,"gross_charge":532,"discounted_cash":399,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":487},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Screw Periart.locking 3.5mm X 18mm","code_information":[{"code":"51015","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":486,"gross_charge":531,"discounted_cash":398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":486},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":234}]}]},{"description":"Dress Gel Sheet 4 X4","code_information":[{"code":"50293","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":110,"maximum":485,"gross_charge":530,"discounted_cash":398,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":485},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":477},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":456},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"27095 Injection, Hip Arthroplasty W/anes","code_information":[{"code":"CP17585603283870604","type":"CDM"},{"code":"510","type":"RC"},{"code":"27095","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Cervical Spine (2-3 Views)","code_information":[{"code":"39010","type":"CDM"},{"code":"320","type":"RC"},{"code":"72040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 40mm","code_information":[{"code":"50543","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 35mm","code_information":[{"code":"50544","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 45mm","code_information":[{"code":"51027","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 70mm","code_information":[{"code":"51150","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 30mm","code_information":[{"code":"52620","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 50mm","code_information":[{"code":"52621","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 55mm","code_information":[{"code":"52622","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 60mm","code_information":[{"code":"52623","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.cann.conical 3.5mm X 65mm","code_information":[{"code":"52624","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Screw Periart.locking 2.7mm X 12mm","code_information":[{"code":"52869","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52869","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":484,"gross_charge":529,"discounted_cash":397,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":484},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":233}]}]},{"description":"Remove Eyelid Foreign Body","code_information":[{"code":"CP17585600566715405","type":"CDM"},{"code":"521","type":"RC"},{"code":"67938","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Remove Eyelid Foreign Body","code_information":[{"code":"CP17585603283942228","type":"CDM"},{"code":"510","type":"RC"},{"code":"67938","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Cath Triple Lumen 7fr 20cm         A4300","code_information":[{"code":"49569","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Pft-plethysmography, Deter Of Lung Vol","code_information":[{"code":"60072","type":"CDM"},{"code":"460","type":"RC"},{"code":"94726","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Anesthesia Block Two Or More","code_information":[{"code":"13380005","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Tourniquet Cuff 18  Disp Dpsb W/ Sleeve","code_information":[{"code":"52087","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":483,"gross_charge":528,"discounted_cash":396,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":483},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Pft-spirometry Pre Dilator (Only)","code_information":[{"code":"60006","type":"CDM"},{"code":"460","type":"RC"},{"code":"94010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":482,"gross_charge":527,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":482},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":232}]}]},{"description":"Im Nail Distal Trocar 3.7mm","code_information":[{"code":"50469","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50469","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":481,"gross_charge":526,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":"Saw Blade Recip 13mm X 76mm X 0.89mm","code_information":[{"code":"52535","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":481,"gross_charge":526,"discounted_cash":395,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":481},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":"Umeclidinium/vilanterol Inh. 62.5-25mcg","code_information":[{"code":"308942","type":"CDM"},{"code":"637","type":"RC"},{"code":"17308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":109,"maximum":480,"gross_charge":525,"discounted_cash":394,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":480},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":473},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":231}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"23330 Removal Fb Shoulder Subcutaneous","code_information":[{"code":"CP17585603283850994","type":"CDM"},{"code":"510","type":"RC"},{"code":"23330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":479,"gross_charge":524,"discounted_cash":393,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":472},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":231}]}]},{"description":"Plate Quarter Tubular 5 Hole","code_information":[{"code":"48723","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48723","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":479,"gross_charge":523,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":479},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"11641 G-exc Mal Les Mar Fce Ers .6-1.0","code_information":[{"code":"CP17585600566580197","type":"CDM"},{"code":"521","type":"RC"},{"code":"11641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":478,"gross_charge":522,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"11641 G-exc Mal Les Mar Fce Ers .6-1.0","code_information":[{"code":"CP17585603283833562","type":"CDM"},{"code":"510","type":"RC"},{"code":"11641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":478,"gross_charge":522,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":230}]}]},{"description":"Amoxicillin/clav Susp. 250mg/5ml 150ml","code_information":[{"code":"312287","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651002675","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":108,"maximum":478,"gross_charge":522,"discounted_cash":392,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":478},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":230}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Polar Active Ice Knee&joint Cold Therapy","code_information":[{"code":"53060","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":476,"gross_charge":520,"discounted_cash":390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Polar Active Ice Universal Cold Therapy","code_information":[{"code":"53123","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":476,"gross_charge":520,"discounted_cash":390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Polar Active Ice Knee&joint Cold Therapy","code_information":[{"code":"53173","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":476,"gross_charge":520,"discounted_cash":390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Polar Active Ice Broad Coverage Shoulder","code_information":[{"code":"53194","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":108,"maximum":476,"gross_charge":520,"discounted_cash":390,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":476},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":229}]}]},{"description":"Comp Rev Shldr 9 In Steinmann","code_information":[{"code":"53168","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53168","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":475,"gross_charge":519,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Dress Surgifoam 8cmx3cm Absrb Hemostat","code_information":[{"code":"52152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":475,"gross_charge":519,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Dress Surgifoam 2cmx6cm Absrb Hemostat","code_information":[{"code":"52444","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52444","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":475,"gross_charge":519,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Dress Surgifoam 8x6.25cm Absrb Hemostat","code_information":[{"code":"53021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":475,"gross_charge":519,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":475},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Avulsion, Nail Plate, Partail/complete/ Bilateral Proc","code_information":[{"code":"CP17585600566598443-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"11730","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":107,"maximum":474,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"12031 Layer Close Wnd Trk/exterm2.5 Or <","code_information":[{"code":"CP17585603283836016","type":"CDM"},{"code":"510","type":"RC"},{"code":"12031","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":474,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"12041 Layer Closure N,h,f,eg 2.5 Or Less","code_information":[{"code":"CP17585603283839899","type":"CDM"},{"code":"510","type":"RC"},{"code":"12041","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":474,"gross_charge":518,"discounted_cash":389,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":474},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":228}]}]},{"description":"Cath Intrauterine Pressure (Iupc)","code_information":[{"code":"49424","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49424","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Paraguard Iud","code_information":[{"code":"CP17585600566715124","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7300","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Abdomen (2 Views)","code_information":[{"code":"39002","type":"CDM"},{"code":"320","type":"RC"},{"code":"74019","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Chest Frontal+lateral (2 Views)","code_information":[{"code":"39012","type":"CDM"},{"code":"324","type":"RC"},{"code":"71046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Sternum (2 Views)","code_information":[{"code":"39064","type":"CDM"},{"code":"320","type":"RC"},{"code":"71120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Orbits (<4 Views)","code_information":[{"code":"39118-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"70200","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Pelvis (1-2 Views)","code_information":[{"code":"39141","type":"CDM"},{"code":"320","type":"RC"},{"code":"72170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Skull (Less Than 4 Views)","code_information":[{"code":"39146","type":"CDM"},{"code":"320","type":"RC"},{"code":"70250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Sternoclav Jts (3 Views Min)","code_information":[{"code":"39148","type":"CDM"},{"code":"320","type":"RC"},{"code":"71130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Sternoclav Jts (<3 Views)","code_information":[{"code":"39168","type":"CDM"},{"code":"320","type":"RC"},{"code":"71130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Thoracic Spine (1 View)","code_information":[{"code":"39171-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"72070","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Hand-r (1 View)","code_information":[{"code":"39199-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Hand-l (1 View)","code_information":[{"code":"39200-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73120","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Ribs-r (2 Views)","code_information":[{"code":"39221-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71100","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Ribs-l (2 Views)","code_information":[{"code":"39222-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"71100","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Knee-rt (3 Views)","code_information":[{"code":"39285-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Knee-lt (3 Views)","code_information":[{"code":"39286-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73562","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Sacroiliac Joints (<3 Views)","code_information":[{"code":"39380","type":"CDM"},{"code":"320","type":"RC"},{"code":"72200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Thoracolumbar Junction (1 View)","code_information":[{"code":"39647","type":"CDM"},{"code":"320","type":"RC"},{"code":"72020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":107,"maximum":471,"gross_charge":515,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":471},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":464},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":227}]}]},{"description":"Splint Posterior Leaf Right/large","code_information":[{"code":"50189","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":470,"gross_charge":514,"discounted_cash":386,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":470},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Mometasone(nasonex)nasal Spray:17 Gm-","code_information":[{"code":"303381","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303381","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":469,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566638076","type":"CDM"},{"code":"521","type":"RC"},{"code":"11424","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":469,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"High Level Of Medical Decision Making During The Service Period With In 2 Business Days And Face To Face Visit Within 7 Calendar Days Of Discharge","code_information":[{"code":"CP17585600566630734","type":"CDM"},{"code":"521","type":"RC"},{"code":"99496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":469,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283917855","type":"CDM"},{"code":"510","type":"RC"},{"code":"11424","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":469,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"High Level Of Medical Decision Making During The Service Period With In 2 Business Days And Face To Face Visit Within 7 Calendar Days Of Discharge","code_information":[{"code":"CP17585603283925643","type":"CDM"},{"code":"510","type":"RC"},{"code":"99496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":469,"gross_charge":513,"discounted_cash":385,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":469},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":226}]}]},{"description":"Rapid Rhino Epistaxis 7.5cm Ante/post","code_information":[{"code":"52003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":106,"maximum":468,"gross_charge":511,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":468},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":460},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":225}]}]},{"description":"Plate Ss 1/3 Tubular 8 Hole","code_information":[{"code":"48646","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48646","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":467,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Humi Harris Uterine Manipulator Injector","code_information":[{"code":"49079","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":467,"gross_charge":510,"discounted_cash":383,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":467},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":".Bcr-abl 1 Minor Break Point","code_information":[{"code":"757228","type":"CDM"},{"code":"310","type":"RC"},{"code":"81207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Splint Posterior Leg-hip Small","code_information":[{"code":"49274","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2136","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Splint Posterior Leg-hip Large","code_information":[{"code":"49276","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2136","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Splint Posterior Leg-hip Medium","code_information":[{"code":"49279","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2136","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Suction Can 16000cc W/spec.sock Omni Jug","code_information":[{"code":"49966","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Suction Can 16000cc Omni Jug","code_information":[{"code":"52569","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Bilateral  Carpal Tunnell Injections","code_information":[{"code":"CP17585603283908263-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20526","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":105,"maximum":466,"gross_charge":509,"discounted_cash":382,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":466},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Im Nail Distal Trocar 5.0mm","code_information":[{"code":"52100","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":465,"gross_charge":508,"discounted_cash":381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Kras Gene Analysis","code_information":[{"code":"22020","type":"CDM"},{"code":"310","type":"RC"},{"code":"81275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":465,"gross_charge":508,"discounted_cash":381,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":465},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":224}]}]},{"description":"Salmeterol (Serevent) Diskus:inhaler","code_information":[{"code":"302855-GY","type":"CDM"},{"code":"259","type":"RC"},{"code":"J3490","type":"HCPCS","modifier":"GY"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GY"],"minimum":105,"maximum":463,"gross_charge":506,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":223}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Drill Bit Q-c 2.5mm Dia 110mm","code_information":[{"code":"52392","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":463,"gross_charge":506,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Plate Semi-tubular 6 Hole","code_information":[{"code":"48702","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":463,"gross_charge":506,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Cath Cholangiography 6fr","code_information":[{"code":"49557","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49557","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":463,"gross_charge":506,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"Cath Cholangiography 4fr","code_information":[{"code":"49799","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49799","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":105,"maximum":463,"gross_charge":506,"discounted_cash":380,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":463},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":223}]}]},{"description":"11043 Debride Tissue/muscle","code_information":[{"code":"CP17585600566585752","type":"CDM"},{"code":"521","type":"RC"},{"code":"11043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":462,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"11043 Debride Tissue/muscle","code_information":[{"code":"CP17585603283830772","type":"CDM"},{"code":"510","type":"RC"},{"code":"11043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":462,"gross_charge":505,"discounted_cash":379,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":462},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Lap Trocar Stab. Sleeve  5mm For D5lt","code_information":[{"code":"49362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":461,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Tray Thoracentesis / Paracentesis","code_information":[{"code":"49532","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49532","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":461,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"11621 Exc Malig Les Snhfg 0.6-1.0 Cm","code_information":[{"code":"CP17585600566588915","type":"CDM"},{"code":"521","type":"RC"},{"code":"11621","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":461,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"11621 Exc Malig Les Snhfg 0.6-1.0 Cm","code_information":[{"code":"CP17585603283836567","type":"CDM"},{"code":"510","type":"RC"},{"code":"11621","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":461,"gross_charge":504,"discounted_cash":378,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":461},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":222}]}]},{"description":"Molecular Path Level 4","code_information":[{"code":"22023","type":"CDM"},{"code":"310","type":"RC"},{"code":"81403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":459,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"Plate Ss 1/3 Tubular 7 Hole","code_information":[{"code":"48645","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":459,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"Cath Cholangiogram 4.5fr (Taut)","code_information":[{"code":"50009","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":459,"gross_charge":502,"discounted_cash":377,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":459},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":452},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":221}]}]},{"description":"11601 Exc Mal Lesion T,a,l .6-1.0cm","code_information":[{"code":"CP17585600566586803","type":"CDM"},{"code":"521","type":"RC"},{"code":"11601","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":458,"gross_charge":501,"discounted_cash":376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Destruction, Lesion(s), Vulva; Extensive","code_information":[{"code":"CP17585600566607903","type":"CDM"},{"code":"521","type":"RC"},{"code":"56515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":458,"gross_charge":501,"discounted_cash":376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"11601 Exc Mal Lesion T,a,l .6-1.0cm","code_information":[{"code":"CP17585603283835445","type":"CDM"},{"code":"510","type":"RC"},{"code":"11601","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":458,"gross_charge":501,"discounted_cash":376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Lap Closure System Carter Thomaston","code_information":[{"code":"52123","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":104,"maximum":458,"gross_charge":501,"discounted_cash":376,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Abduction Pillow Medium","code_information":[{"code":"49944","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49944","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Fine Needle Asp","code_information":[{"code":"17025","type":"CDM"},{"code":"311","type":"RC"},{"code":"88172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Morphomet Anyl Ish Manl Multiplex","code_information":[{"code":"17030","type":"CDM"},{"code":"310","type":"RC"},{"code":"88377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Screw Periart.4.5mm X 40mm Self Tap","code_information":[{"code":"51134","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Screw Periart.4.5mm X 44mm Self Tap","code_information":[{"code":"51135","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Screw Periart.4.5mm X 50mm Self Tap","code_information":[{"code":"51136","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Screw Periart.4.5mm X 65mm Self Tap","code_information":[{"code":"51137","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":458,"gross_charge":500,"discounted_cash":375,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":458},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Tourniquet Cuff 24 X4  Disp 2port1bladdr","code_information":[{"code":"52264","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52264","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":457,"gross_charge":499,"discounted_cash":374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Tourniquet Cuff 18  Disp Contour Cuff","code_information":[{"code":"52902","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":457,"gross_charge":499,"discounted_cash":374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Tourniquet Cuff 34  Disp Contour Cuff","code_information":[{"code":"52903","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":457,"gross_charge":499,"discounted_cash":374,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":457},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":220}]}]},{"description":"Plate Ss 1/3 Tubular 6 Hole","code_information":[{"code":"48644","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48644","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":"Clonidine Tts-3(catapres)patch:each","code_information":[{"code":"300307","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Im Nail Screw Cort 4.2mm X 70mm","code_information":[{"code":"52016","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":"Im Nail Screw Cort 4.2mm X 50mm","code_information":[{"code":"52018","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":"Pacemaker/defib Pad Adult","code_information":[{"code":"50014","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":"Pacemaker/defib Pad Pediatric","code_information":[{"code":"50015","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":455,"gross_charge":497,"discounted_cash":373,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":455},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":219}]}]},{"description":"Home Visit New Pt 3 Key Components: Comp","code_information":[{"code":"CP17585600566648084","type":"CDM"},{"code":"522","type":"RC"},{"code":"99345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":454,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":"Home Visit New Pt 3 Key Components: Comp","code_information":[{"code":"CP17585603283925210","type":"CDM"},{"code":"510","type":"RC"},{"code":"99345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":103,"maximum":454,"gross_charge":496,"discounted_cash":372,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":454},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":".Infliximab","code_information":[{"code":"758596","type":"CDM"},{"code":"300","type":"RC"},{"code":"80230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":453,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":".Chemiluminescent Assay","code_information":[{"code":"758597","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":453,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":"46606 Anoscopy W Biopsy Sngl/multi","code_information":[{"code":"CP17585603283902179","type":"CDM"},{"code":"510","type":"RC"},{"code":"46606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":453,"gross_charge":495,"discounted_cash":371,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":453},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":446},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":218}]}]},{"description":"Recovery Iv Sedation","code_information":[{"code":"13101","type":"CDM"},{"code":"710","type":"RC"},{"code":"CP13101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":451,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Ed-probs Are Of Moderate Severity","code_information":[{"code":"65009","type":"CDM"},{"code":"450","type":"RC"},{"code":"99283","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":451,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"Cath Chol.introducer 3.5  (Taut)","code_information":[{"code":"50010","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":451,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":".Jak2 (Janus Kinase2) Myeloprolif Disord","code_information":[{"code":"758614","type":"CDM"},{"code":"300","type":"RC"},{"code":"81279","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":451,"gross_charge":493,"discounted_cash":370,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":451},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":217}]}]},{"description":"11443 Exc Ben Les Feenlm 2.13.0 Cm","code_information":[{"code":"CP17585600566582674","type":"CDM"},{"code":"521","type":"RC"},{"code":"11443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":450,"gross_charge":492,"discounted_cash":369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"11443 Exc Ben Les Feenlm 2.13.0 Cm","code_information":[{"code":"CP17585603283836918","type":"CDM"},{"code":"510","type":"RC"},{"code":"11443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":450,"gross_charge":492,"discounted_cash":369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Uro Transrectal Biopsy Gun 18g Long","code_information":[{"code":"49841","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":450,"gross_charge":492,"discounted_cash":369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Debridement-bone","code_information":[{"code":"69005","type":"CDM"},{"code":"761","type":"RC"},{"code":"11044","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":450,"gross_charge":492,"discounted_cash":369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"New patient office or other outpatient visit, 30 min","code_information":[{"code":"69008","type":"CDM"},{"code":"521","type":"RC"},{"code":"99203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":450,"gross_charge":492,"discounted_cash":369,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":450},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":423},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Insulin Aspart 100u/ml","code_information":[{"code":"304314","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":102,"maximum":449,"gross_charge":491,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":449},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Miami J Cerv Collar Regular (400)","code_information":[{"code":"52180","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0174","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Cerv Collar Adjustable Vista Tracheal","code_information":[{"code":"52445","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0174","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Newborn Blood Spot Screeningstate","code_information":[{"code":"75076","type":"CDM"},{"code":"300","type":"RC"},{"code":"84030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Injection Lumbar Or Sacral","code_information":[{"code":"CP17585600566670244","type":"CDM"},{"code":"521","type":"RC"},{"code":"62311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:com","code_information":[{"code":"CP17585600566681918","type":"CDM"},{"code":"521","type":"RC"},{"code":"99236","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Injection Lumbar Or Sacral","code_information":[{"code":"CP17585603283940890","type":"CDM"},{"code":"510","type":"RC"},{"code":"62311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:com","code_information":[{"code":"CP17585603283942978","type":"CDM"},{"code":"510","type":"RC"},{"code":"99236","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":448,"gross_charge":490,"discounted_cash":368,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":448},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":441},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":216}]}]},{"description":"Guide Pin 3.2mm X 230mm Calibrated Dhs Z","code_information":[{"code":"51222","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":489,"discounted_cash":367,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Rest Home Visit, New Pt 3 Key Components","code_information":[{"code":"CP17585600566716444","type":"CDM"},{"code":"522","type":"RC"},{"code":"99328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"K-wire 0.70mm(0.028 )X 76mm(3 ) Mini Frg","code_information":[{"code":"48663","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"K-wire 0.90mm(0.035 )X 76mm(3 ) Mini Frg","code_information":[{"code":"48664","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48664","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"K-wire 1.10mm(0.045 )X152mm(6 ) Mini Frg","code_information":[{"code":"48665","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48665","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"K-wire 1.60mm(0.062 )X152mm(6 ) Mini Frg","code_information":[{"code":"48666","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48666","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Plate Quarter Tubular 4 Hole","code_information":[{"code":"48722","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48722","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}]},{"description":"Fluticasone/salmeterol Inh. 100/50mcg","code_information":[{"code":"303782-65","type":"CDM"},{"code":"637","type":"RC"},{"code":"54032","type":"CPT","modifier":"65"}],"standard_charges":[{"setting":"outpatient","modifier_code":["65"],"minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fluticasone/salmeterol Inh. 100/50mcg","code_information":[{"code":"303782","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":447,"gross_charge":488,"discounted_cash":366,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":447},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":215}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"28470 Closed-metatarsal Fract Wo/manip","code_information":[{"code":"CP17585603283887674","type":"CDM"},{"code":"510","type":"RC"},{"code":"28470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":101,"maximum":445,"gross_charge":486,"discounted_cash":365,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":445},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":214}]}]},{"description":"Rapid Rhino Epistaxis 5.5cm Anterior","code_information":[{"code":"52002","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":444,"gross_charge":485,"discounted_cash":364,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":444},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Splint Posterior Leaf E.f. Right/small","code_information":[{"code":"50084","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":443,"gross_charge":484,"discounted_cash":363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Splint Posterior Leaf E.f. Right/medium","code_information":[{"code":"50085","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":443,"gross_charge":484,"discounted_cash":363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Splint Posterior Leaf E.f. Left/medium","code_information":[{"code":"50141","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":443,"gross_charge":484,"discounted_cash":363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Lap Inst Disp L-hook W/ Cautery 5mm 33cm","code_information":[{"code":"52184","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52184","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":443,"gross_charge":484,"discounted_cash":363,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":443},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":416},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Miami J Cerv Collar Short (300)","code_information":[{"code":"52179","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0174","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"C-arm Fluoro (1st Hour)","code_information":[{"code":"39154","type":"CDM"},{"code":"320","type":"RC"},{"code":"76000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Injection Proc For Hysterosalpingography","code_information":[{"code":"39403","type":"CDM"},{"code":"761","type":"RC"},{"code":"58340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 30mm","code_information":[{"code":"51028","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 32mm","code_information":[{"code":"51029","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 34mm","code_information":[{"code":"51030","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 40mm","code_information":[{"code":"51031","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 10mm","code_information":[{"code":"52580","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52580","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 12mm","code_information":[{"code":"52581","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52581","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 14mm","code_information":[{"code":"52582","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 16mm","code_information":[{"code":"52583","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52583","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 18mm","code_information":[{"code":"52584","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52584","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 20mm","code_information":[{"code":"52585","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52585","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 22mm","code_information":[{"code":"52586","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52586","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 24mm","code_information":[{"code":"52587","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 26mm","code_information":[{"code":"52588","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 28mm","code_information":[{"code":"52589","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 36mm","code_information":[{"code":"52590","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52590","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 38mm","code_information":[{"code":"52591","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52591","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 42mm","code_information":[{"code":"52592","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52592","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 44mm","code_information":[{"code":"52593","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 46mm","code_information":[{"code":"52594","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52594","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 48mm","code_information":[{"code":"52595","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 50mm","code_information":[{"code":"52596","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52596","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 52mm","code_information":[{"code":"52597","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52597","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 54mm","code_information":[{"code":"52598","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52598","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 56mm","code_information":[{"code":"52599","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 58mm","code_information":[{"code":"52600","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Screw Periart.locking 2.7mm X 60mm","code_information":[{"code":"52601","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52601","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Pft-diffusion Studies (Dlco)","code_information":[{"code":"60073","type":"CDM"},{"code":"460","type":"RC"},{"code":"94729","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Injection(s) of anesthetic into lower spine using imaging guidance","code_information":[{"code":"850012","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"64483","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Add On Second Level Bilat","code_information":[{"code":"850028-50","type":"CDM"},{"code":"360","type":"RC"},{"code":"64494","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"Removal Of Intrauterine Device","code_information":[{"code":"65573","type":"CDM"},{"code":"450","type":"RC"},{"code":"58301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":100,"maximum":442,"gross_charge":483,"discounted_cash":362,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":442},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":213}]}]},{"description":"23065 Bx Soft Tissue Shoulder Superficia","code_information":[{"code":"CP17585603283858993","type":"CDM"},{"code":"510","type":"RC"},{"code":"23065","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":440,"gross_charge":481,"discounted_cash":361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"23500 Closed-clavicular Fx W/o Manip","code_information":[{"code":"CP17585603283868287","type":"CDM"},{"code":"510","type":"RC"},{"code":"23500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":440,"gross_charge":481,"discounted_cash":361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"Cpap/bipap Set Up Init And Mngmnt","code_information":[{"code":"60190","type":"CDM"},{"code":"410","type":"RC"},{"code":"94660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":440,"gross_charge":481,"discounted_cash":361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"High Flow O2 Set Up First Day","code_information":[{"code":"60200","type":"CDM"},{"code":"410","type":"RC"},{"code":"94660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":440,"gross_charge":481,"discounted_cash":361,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":440},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":212}]}]},{"description":"Screw Periart.locking 3.5mm X 14mm","code_information":[{"code":"51073","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":439,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Screw Periart.locking 3.5mm X 10mm","code_information":[{"code":"52992","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":439,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Splint Posterior T/f Knee Child Plastic","code_information":[{"code":"49953","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":439,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Ortho Fan Spray Tip Hi-cap","code_information":[{"code":"52528","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52528","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":439,"gross_charge":480,"discounted_cash":360,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":439},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Trays, Thoracostomy","code_information":[{"code":"48029","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":438,"gross_charge":479,"discounted_cash":359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":438},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":211}]}]},{"description":"Rr-zoledronic Acid 4mg/5ml","code_information":[{"code":"303965","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3489","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":437,"gross_charge":478,"discounted_cash":359,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":437},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":430},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":210}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566633914","type":"CDM"},{"code":"521","type":"RC"},{"code":"11404","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":436,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":210}]}]},{"description":"Jak2 Exon 12 Mutation Analysisquest","code_information":[{"code":"758128","type":"CDM"},{"code":"310","type":"RC"},{"code":"81403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":99,"maximum":436,"gross_charge":477,"discounted_cash":358,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":436},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":429},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":210}]}]},{"description":"Saw Blade Recip 12.5mm X 76mm X 1.00mm","code_information":[{"code":"52814","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52814","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":435,"gross_charge":475,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Saw Blade Recip 10mm X 70mm X 1.19mm","code_information":[{"code":"52815","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52815","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":435,"gross_charge":475,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Tracheostomy Kit Emergency","code_information":[{"code":"49489","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":435,"gross_charge":475,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":435},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Immunohistochemistry Initialdcpa","code_information":[{"code":"22016","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Her-2-new  Stain","code_information":[{"code":"750333","type":"CDM"},{"code":"310","type":"RC"},{"code":"88342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":".Flow Cytometry,cell Surface First Maker","code_information":[{"code":"750796","type":"CDM"},{"code":"311","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":".Flow Cytometry, Class I","code_information":[{"code":"751818","type":"CDM"},{"code":"311","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":".Flow Cytometry, Cell Surface, Cytoplasm","code_information":[{"code":"752047","type":"CDM"},{"code":"311","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Morphometric Analysis-pd      Dcpa","code_information":[{"code":"758298","type":"CDM"},{"code":"310","type":"RC"},{"code":"88360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Screw Mall.4.5mm 45mm","code_information":[{"code":"48804","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48804","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Screw Mall.4.5mm 50mm","code_information":[{"code":"48805","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48805","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":434,"gross_charge":474,"discounted_cash":356,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":434},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":209}]}]},{"description":"Miniheart Cont Neb With Adult Mask 7ft","code_information":[{"code":"53003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":433,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"K-wire 1.25mm X 150mm","code_information":[{"code":"48145","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":433,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"K-wire 1.60mm X 150mm","code_information":[{"code":"48146","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":433,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"K-wire 2.0mm X 150mm","code_information":[{"code":"48147","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":433,"gross_charge":473,"discounted_cash":355,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":433},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"Plate Ss 1/3 Tubular 5 Hole","code_information":[{"code":"48643","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":432,"gross_charge":472,"discounted_cash":354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"Tpmt Activityquest","code_information":[{"code":"752508","type":"CDM"},{"code":"300","type":"RC"},{"code":"84433","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":98,"maximum":432,"gross_charge":472,"discounted_cash":354,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":432},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":208}]}]},{"description":"Nicardipine 25mg/250ml Ns Ivpb **Pharm","code_information":[{"code":"312096","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":431,"gross_charge":471,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":207}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ex.fix. Clamp Adjustable","code_information":[{"code":"48113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":431,"gross_charge":471,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Plate Ss 1/3 Tubular 4 Hole","code_information":[{"code":"48642","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48642","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":431,"gross_charge":471,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Plate Semi-tubular 5 Hole","code_information":[{"code":"48701","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":431,"gross_charge":471,"discounted_cash":353,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":431},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":424},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":207}]}]},{"description":"Splint Posterior Leaf Left/medium","code_information":[{"code":"50190","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":428,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":"Splint Posterior Leaf Left/medium","code_information":[{"code":"50399","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":428,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":"Saw Blade Recip 12.5mm X 76mm X 0.9mm","code_information":[{"code":"48477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":428,"gross_charge":468,"discounted_cash":351,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":428},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":206}]}]},{"description":"Tray Cath Introducer 8.5fr","code_information":[{"code":"49761","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":97,"maximum":427,"gross_charge":467,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":427},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Ed-probs Are Of Moderate Severity","code_information":[{"code":"65909-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99283","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":96,"maximum":426,"gross_charge":466,"discounted_cash":350,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":426},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"40810 Exc Lesion Mouth Wo Repair","code_information":[{"code":"CP17585603283891623","type":"CDM"},{"code":"510","type":"RC"},{"code":"40810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":425,"gross_charge":465,"discounted_cash":349,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":205}]}]},{"description":"Platelet Antibody Screen/crossmatch","code_information":[{"code":"751814","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":425,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Nasal Bones (3 Views Min)","code_information":[{"code":"39044","type":"CDM"},{"code":"320","type":"RC"},{"code":"70160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":96,"maximum":425,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Pt Contrast Bath Therapy, Ea 15 Min","code_information":[{"code":"55482-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97034","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":96,"maximum":425,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Pt Evaluation, High Complexity","code_information":[{"code":"55561-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97163","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":96,"maximum":425,"gross_charge":464,"discounted_cash":348,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":425},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":204}]}]},{"description":"Zz Brinzolamide 1% Opth Sol:10ml","code_information":[{"code":"304393","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":422,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":203}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Braf Gene Analysis","code_information":[{"code":"22022","type":"CDM"},{"code":"310","type":"RC"},{"code":"81210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":422,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"St Evaluation Of Speech Sound Production","code_information":[{"code":"55470-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92522","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":95,"maximum":422,"gross_charge":461,"discounted_cash":346,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":422},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":203}]}]},{"description":"Drill Bit  2.2mm  Ns","code_information":[{"code":"52559","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52559","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Drill Bit  2.9mm  Ns","code_information":[{"code":"52745","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg  Screw Full Thread 2.5mm X 14mm","code_information":[{"code":"52820","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg Screw  Full Thread 2.5mm X 16mm","code_information":[{"code":"52821","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg Screw  Full Thread 2.5mm X 15mm","code_information":[{"code":"52822","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg Screw  Full Thread 2.5mm X 12mm","code_information":[{"code":"52823","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg Screw  Full Thread 2.5mm X 13mm","code_information":[{"code":"52824","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Peg Screw   2.5mm X 15mm","code_information":[{"code":"52825","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Mpl Mutation Analysisquest","code_information":[{"code":"758560","type":"CDM"},{"code":"300","type":"RC"},{"code":"81339","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":".Sequence Analysis Exon 10","code_information":[{"code":"758615","type":"CDM"},{"code":"300","type":"RC"},{"code":"81339","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Trocar Trocar Blunt Tip Optiv12mm 100mm","code_information":[{"code":"52921","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52921","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Trocar Blunt Tip Kii Balloon 12mm X100mm","code_information":[{"code":"53000","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":421,"gross_charge":460,"discounted_cash":345,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":421},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Power Injectable Implant 8fr Vaccess","code_information":[{"code":"53016","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53016","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":420,"gross_charge":459,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"CP17585600566688681","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":420,"gross_charge":459,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"30310 Remove Nasal Foreign Body","code_information":[{"code":"CP17585603283898877","type":"CDM"},{"code":"510","type":"RC"},{"code":"30310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":420,"gross_charge":459,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"New patient office or other outpatient visit, 60 min","code_information":[{"code":"CP17585603283946119","type":"CDM"},{"code":"521","type":"RC"},{"code":"99205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":420,"gross_charge":459,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":420},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Splint Thumb Spica X-small Left","code_information":[{"code":"50286","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3807","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":419,"gross_charge":458,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":"Sevoflurane 250ml","code_information":[{"code":"306203","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP306203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":419,"gross_charge":458,"discounted_cash":344,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":419},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":202}]}]},{"description":".Infectious Agent Drug Susceptibility","code_information":[{"code":"757212","type":"CDM"},{"code":"300","type":"RC"},{"code":"87900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":418,"gross_charge":457,"discounted_cash":343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Trays Sigmoid Instr.","code_information":[{"code":"48024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":95,"maximum":418,"gross_charge":457,"discounted_cash":343,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":418},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"10061 I&d Skin Abcess Comp","code_information":[{"code":"CP17585600566579994","type":"CDM"},{"code":"521","type":"RC"},{"code":"10061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Initial Hosp Care 3 Key Components: Comp","code_information":[{"code":"CP17585600566679027","type":"CDM"},{"code":"521","type":"RC"},{"code":"99223","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"10061 I&d Skin Abcess Comp","code_information":[{"code":"CP17585603283828749","type":"CDM"},{"code":"510","type":"RC"},{"code":"10061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Extirpation Of Matter From Rt Lower Arm Subcutaneiou Tissue And Fascia","code_information":[{"code":"CP17585603283910002","type":"CDM"},{"code":"510","type":"RC"},{"code":"24200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Initial Hosp Care 3 Key Components: Comp","code_information":[{"code":"CP17585603283944136","type":"CDM"},{"code":"510","type":"RC"},{"code":"99223","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Debridement-muscle","code_information":[{"code":"69004","type":"CDM"},{"code":"761","type":"RC"},{"code":"11043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":417,"gross_charge":456,"discounted_cash":342,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":417},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":201}]}]},{"description":"Humerus-r (1 View)","code_information":[{"code":"39179-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Humerus-l (1 View)","code_information":[{"code":"39180-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Humerus-r (2 Views)","code_information":[{"code":"39233-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Humerus-l (2 Views)","code_information":[{"code":"39234-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73060","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Plate Semi-tubular 4 Hole","code_information":[{"code":"48700","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48700","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Plate Mini Straight 5 Hole","code_information":[{"code":"48717","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48717","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Plate Quarter Tubular 3 Hole","code_information":[{"code":"48721","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48721","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"27808 F-cl Tx Bimall Ank Fx W/o Manip","code_information":[{"code":"10091","type":"CDM"},{"code":"761","type":"RC"},{"code":"27808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":415,"gross_charge":454,"discounted_cash":341,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":415},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":200}]}]},{"description":"Destruction Of Internal Hemorrhoid By Thermal Energy","code_information":[{"code":"CP17585603283911233","type":"CDM"},{"code":"510","type":"RC"},{"code":"46930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":94,"maximum":414,"gross_charge":453,"discounted_cash":340,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":408},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"46220 Excision Single Anal Skin Tag","code_information":[{"code":"CP17585603283904395","type":"CDM"},{"code":"510","type":"RC"},{"code":"46220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":414,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Zaleplon Urinequest","code_information":[{"code":"758612","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":414,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Quick Vacuum Cement Mixing System","code_information":[{"code":"52534","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52534","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":414,"gross_charge":452,"discounted_cash":339,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":414},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":407},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":199}]}]},{"description":"Abdomen (1 View)","code_information":[{"code":"39001","type":"CDM"},{"code":"320","type":"RC"},{"code":"74018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Scoliosis Iv","code_information":[{"code":"39101","type":"CDM"},{"code":"320","type":"RC"},{"code":"72081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Shoulder-r (2 Views Min)","code_information":[{"code":"39227-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Shoulder-l (2 Views Min)","code_information":[{"code":"39228-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73030","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Ankle-r (3 Views Min)","code_information":[{"code":"39251-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Ankle-l (3 Views Min)","code_information":[{"code":"39252-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73610","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Foot-r (3 Views Min)","code_information":[{"code":"39255-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Foot-l (3 Views Min)","code_information":[{"code":"39256-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73630","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Hand-r (3 Views Min)","code_information":[{"code":"39273-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Hand-l (3 Views Min)","code_information":[{"code":"39274-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73130","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Hip-r (2 Views Min)","code_information":[{"code":"39277-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Hip-l (2 Views Min)","code_information":[{"code":"39278-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Knee-bil (Ap Standing)","code_information":[{"code":"39282","type":"CDM"},{"code":"320","type":"RC"},{"code":"73565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Knee-rt (1-2 Views)","code_information":[{"code":"39283-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Knee-lt (1-2 Views)","code_information":[{"code":"39284-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73560","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Fingers-r (Multi)","code_information":[{"code":"39381-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Fingers-l (Multi)","code_information":[{"code":"39382-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Ot Evaluation, High Complexity","code_information":[{"code":"55436-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97167","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Ot Evaluation, Moderate Complexity","code_information":[{"code":"55437-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97166","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Replacement Of Gastrostomy Tube","code_information":[{"code":"69541","type":"CDM"},{"code":"450","type":"RC"},{"code":"43762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":413,"gross_charge":451,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":413},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":406},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":388},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"17282 Destr Malig Lesion Face 1.1-2cm","code_information":[{"code":"CP17585600566595422","type":"CDM"},{"code":"521","type":"RC"},{"code":"17282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":412,"gross_charge":450,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"17282 Destr Malig Lesion Face 1.1-2cm","code_information":[{"code":"CP17585603283838434","type":"CDM"},{"code":"510","type":"RC"},{"code":"17282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":412,"gross_charge":450,"discounted_cash":338,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":412},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Screw Cort.3.5mm Lock 12mm Ns","code_information":[{"code":"53138","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":411,"gross_charge":449,"discounted_cash":337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Screw Cort.3.5mm Lock 14mm Ns","code_information":[{"code":"53140","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":411,"gross_charge":449,"discounted_cash":337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Screw Cort.3.5mm Lock 18mm Ns","code_information":[{"code":"53141","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":411,"gross_charge":449,"discounted_cash":337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"Screw Cort.3.5mm Lock 20mm Ns","code_information":[{"code":"53142","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":411,"gross_charge":449,"discounted_cash":337,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":411},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":198}]}]},{"description":"20520 Removal Fb Mus/tendon Sh, Smpl","code_information":[{"code":"CP17585603283838224","type":"CDM"},{"code":"510","type":"RC"},{"code":"20520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":410,"gross_charge":448,"discounted_cash":336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Screw Dhs 4.5mm  42mm Self-tapping","code_information":[{"code":"48319","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":410,"gross_charge":448,"discounted_cash":336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Screw Dhs 4.5mm  46mm Self-tapping","code_information":[{"code":"48321","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48321","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":93,"maximum":410,"gross_charge":448,"discounted_cash":336,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":410},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":403},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 32mm","code_information":[{"code":"50516","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50516","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Stbehavioral & Qual Analysis Of Voice","code_information":[{"code":"55472-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92524","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"St Eval For Nonspeech Device Rx 1st Hr","code_information":[{"code":"55481-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92605","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Plcmnt Of Needle For Intraosseous Inf","code_information":[{"code":"65372","type":"CDM"},{"code":"450","type":"RC"},{"code":"36680","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Fb Removal Pharynx","code_information":[{"code":"65473","type":"CDM"},{"code":"450","type":"RC"},{"code":"42809","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Fb Removal/embedded In Conjunctiva","code_information":[{"code":"65487","type":"CDM"},{"code":"450","type":"RC"},{"code":"65210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":409,"gross_charge":447,"discounted_cash":335,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":409},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":197}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566635967","type":"CDM"},{"code":"521","type":"RC"},{"code":"11423","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":405,"gross_charge":443,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"32554 Thoracentesis W/o Imagine","code_information":[{"code":"CP17585603283891205","type":"CDM"},{"code":"510","type":"RC"},{"code":"32554","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":405,"gross_charge":443,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283913900","type":"CDM"},{"code":"510","type":"RC"},{"code":"11423","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":92,"maximum":405,"gross_charge":443,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":405},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":399},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":195}]}]},{"description":"46050 Incision Of Anal Abscess","code_information":[{"code":"CP17585603283909466","type":"CDM"},{"code":"510","type":"RC"},{"code":"46050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":442,"discounted_cash":332,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  85mm","code_information":[{"code":"50882","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50882","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  90mm","code_information":[{"code":"50883","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50883","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  95mm","code_information":[{"code":"50884","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50884","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd 100mm","code_information":[{"code":"50885","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50885","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd 105mm","code_information":[{"code":"50886","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd 110mm","code_information":[{"code":"50887","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50887","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  85mm","code_information":[{"code":"50896","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  90mm","code_information":[{"code":"50897","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  95mm","code_information":[{"code":"50898","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50898","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd 100mm","code_information":[{"code":"50899","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50899","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd 105mm","code_information":[{"code":"50900","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50900","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd 110mm","code_information":[{"code":"50901","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Thrombolysis","code_information":[{"code":"65491","type":"CDM"},{"code":"450","type":"RC"},{"code":"92977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":404,"gross_charge":441,"discounted_cash":331,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":404},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":194}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X20mm","code_information":[{"code":"50496","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50496","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Bone Screw Self-tap 6.5mm X25mm","code_information":[{"code":"52720","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52720","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"K-wire 2.00mm X 150mm Threaded Tip","code_information":[{"code":"51055","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Umeclidinium Inh. 62.5mcg","code_information":[{"code":"308941","type":"CDM"},{"code":"637","type":"RC"},{"code":"17308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lap Insuffltn Tubing W/filter S&n","code_information":[{"code":"49811","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":".Kras Additional Variant(s)","code_information":[{"code":"758786","type":"CDM"},{"code":"310","type":"RC"},{"code":"81276","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":402,"gross_charge":439,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":402},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Biopsy Of Penis","code_information":[{"code":"CP17585600566605382","type":"CDM"},{"code":"521","type":"RC"},{"code":"54100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Excision, Malignant Lesion Including Mar","code_information":[{"code":"CP17585600566633482","type":"CDM"},{"code":"521","type":"RC"},{"code":"11640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Excision, Malignant Lesion Including Mar","code_information":[{"code":"CP17585603283919086","type":"CDM"},{"code":"510","type":"RC"},{"code":"11640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":".Chromosome Analysis, 15-20","code_information":[{"code":"75722","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":".Count 15-20 Cells, 2 Karyotypes, W/ Ban","code_information":[{"code":"750921","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":".Chromosome Analysis, 15-20","code_information":[{"code":"751882","type":"CDM"},{"code":"310","type":"RC"},{"code":"88262","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":91,"maximum":401,"gross_charge":438,"discounted_cash":329,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":401},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":394},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":193}]}]},{"description":"Manipulation W/anthesia, Shoulder Joint","code_information":[{"code":"CP17585600566670173","type":"CDM"},{"code":"521","type":"RC"},{"code":"23700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":400,"gross_charge":437,"discounted_cash":328,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":400},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":192}]}]},{"description":"Tx Of Closed Elbox Dis W/o Anes Bilat","code_information":[{"code":"65919-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"24600","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":90,"maximum":398,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Obs Vacuum Cup Kiwi Omnicup","code_information":[{"code":"50331","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":398,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Mesh Mersilene 2.5x4.5 Soft Tissue Patch","code_information":[{"code":"50062","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":398,"gross_charge":435,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":398},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":".Hla Class Ii Typing, High Resolution","code_information":[{"code":"757035","type":"CDM"},{"code":"310","type":"RC"},{"code":"81382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":397,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":".Hla Class Ii Typing, High Resolution","code_information":[{"code":"757340","type":"CDM"},{"code":"310","type":"RC"},{"code":"81382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":397,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Bone Screw 6.5mm 20mm","code_information":[{"code":"48044","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":397,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Bone Screw 6.5mm 25mm","code_information":[{"code":"50404","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":397,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Bone Screw 6.5mm 35mm","code_information":[{"code":"50493","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50493","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":397,"gross_charge":434,"discounted_cash":326,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":397},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Rest Home Visit, Est Pt 2+ Key Component","code_information":[{"code":"CP17585600566714268","type":"CDM"},{"code":"522","type":"RC"},{"code":"99337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":396,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Bur Round 2.0mm","code_information":[{"code":"48479","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":90,"maximum":396,"gross_charge":433,"discounted_cash":325,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":396},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":191}]}]},{"description":"Excisional Biopsy Of Skin Including Simple Closure Single Lesion","code_information":[{"code":"CP17585603283911001","type":"CDM"},{"code":"510","type":"RC"},{"code":"11106","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":395,"gross_charge":432,"discounted_cash":324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"St Swallow Evaluation","code_information":[{"code":"55336-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92610","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":89,"maximum":395,"gross_charge":432,"discounted_cash":324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"Ot Swallow Evaluation","code_information":[{"code":"55432-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"92610","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":89,"maximum":395,"gross_charge":432,"discounted_cash":324,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":395},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":190}]}]},{"description":"Addition To Lwr Extremity-pelvic Cntrl","code_information":[{"code":"52063","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2624","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Destruction, Vaginal Lesion(s); Extensiv","code_information":[{"code":"CP17585600566607203","type":"CDM"},{"code":"521","type":"RC"},{"code":"57065","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Iv Infusion Hydration Initial 31min-1hr","code_information":[{"code":"65410","type":"CDM"},{"code":"450","type":"RC"},{"code":"96360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Iv Infusion Therapy/propylxs/diag Init","code_information":[{"code":"65412","type":"CDM"},{"code":"450","type":"RC"},{"code":"96365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Tray Peritoneal Lavage","code_information":[{"code":"49361","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Ep Visit Comp > 61 Min","code_information":[{"code":"69015","type":"CDM"},{"code":"761","type":"RC"},{"code":"99215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":430,"discounted_cash":323,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Rn Bgr-sipayik","code_information":[{"code":"68021","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Rn Bgr-itp","code_information":[{"code":"68022","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Rn Bgr-dennys River","code_information":[{"code":"68023","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Rn Bgr-calais Ems","code_information":[{"code":"68024","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Rn Bgr-deems","code_information":[{"code":"68026","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Resp Bgr-sipayik","code_information":[{"code":"68051","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Resp Bgr-itp","code_information":[{"code":"68052","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Resp Bgr-dennys River","code_information":[{"code":"68053","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Resp Bgr-calais Ems","code_information":[{"code":"68054","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Amb Resp Bgr-deems","code_information":[{"code":"68056","type":"CDM"},{"code":"540","type":"RC"},{"code":"CP68056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"St Swallow Treatment","code_information":[{"code":"55279-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92526","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Ot Swallow Treatment","code_information":[{"code":"55440-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"92526","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":".Hla Class Ii Typing, Low Resolution","code_information":[{"code":"757034","type":"CDM"},{"code":"310","type":"RC"},{"code":"81376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":393,"gross_charge":429,"discounted_cash":322,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":393},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":386},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":189}]}]},{"description":"Excision Of Rectum, Via Natural Or Artificial Opening Endsoscopic, Diagnostic","code_information":[{"code":"CP17585603283911630","type":"CDM"},{"code":"510","type":"RC"},{"code":"45305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":89,"maximum":392,"gross_charge":428,"discounted_cash":321,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":392},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"Excision Benign Sclp/hd/nk 0.6 To 1.0 Cm","code_information":[{"code":"65565","type":"CDM"},{"code":"450","type":"RC"},{"code":"11421","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":391,"gross_charge":427,"discounted_cash":320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":391},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":188}]}]},{"description":"11760 Repair Nail Bed","code_information":[{"code":"CP17585600566594676","type":"CDM"},{"code":"521","type":"RC"},{"code":"11760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":390,"gross_charge":426,"discounted_cash":320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"11760 Repair Nail Bed","code_information":[{"code":"CP17585603283836544","type":"CDM"},{"code":"510","type":"RC"},{"code":"11760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":390,"gross_charge":426,"discounted_cash":320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Closed Tx Sup/tra Hum Fx W Manip","code_information":[{"code":"65564","type":"CDM"},{"code":"450","type":"RC"},{"code":"24535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":390,"gross_charge":426,"discounted_cash":320,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":390},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"11620 Exc Malig Les Snhfg 0.5 Or Less","code_information":[{"code":"CP17585600566585987","type":"CDM"},{"code":"521","type":"RC"},{"code":"11620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":389,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"11620 Exc Malig Les Snhfg 0.5 Or Less","code_information":[{"code":"CP17585603283835050","type":"CDM"},{"code":"510","type":"RC"},{"code":"11620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":389,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Lap Mobil Splenic Add On","code_information":[{"code":"CP17585603283944251","type":"CDM"},{"code":"510","type":"RC"},{"code":"44213","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":389,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Circumcision Restraint Board","code_information":[{"code":"50008","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":88,"maximum":389,"gross_charge":425,"discounted_cash":319,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":389},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":187}]}]},{"description":"Splint Posterior Leaf Left/large","code_information":[{"code":"50188","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":387,"gross_charge":423,"discounted_cash":317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Splint Posterior Leaf Right/medium","code_information":[{"code":"50191","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1930","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":387,"gross_charge":423,"discounted_cash":317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":186}]}]},{"description":"Rabies Vaccination Im","code_information":[{"code":"65400","type":"CDM"},{"code":"636","type":"RC"},{"code":"90675","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":387,"gross_charge":423,"discounted_cash":317,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":387},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":186}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"11600 Exc Tr-ext Mal+marg 0.5 Cm/<","code_information":[{"code":"CP17585600566582600","type":"CDM"},{"code":"521","type":"RC"},{"code":"11600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":385,"gross_charge":421,"discounted_cash":316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"11600 Exc Tr-ext Mal+marg 0.5 Cm/<","code_information":[{"code":"CP17585603283835509","type":"CDM"},{"code":"510","type":"RC"},{"code":"11600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":385,"gross_charge":421,"discounted_cash":316,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":385},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Quattro Suture Passer Needle","code_information":[{"code":"53110","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566630844","type":"CDM"},{"code":"521","type":"RC"},{"code":"11403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"I/d Drainage Of Abscess Complicated/mult","code_information":[{"code":"65301","type":"CDM"},{"code":"450","type":"RC"},{"code":"10061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Incision/removal Fb Subcutaneous Simp","code_information":[{"code":"65303","type":"CDM"},{"code":"450","type":"RC"},{"code":"10120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Puncture Aspiration Of Abscess","code_information":[{"code":"65304","type":"CDM"},{"code":"450","type":"RC"},{"code":"10160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Excision Of Nail Part/comp","code_information":[{"code":"65307","type":"CDM"},{"code":"450","type":"RC"},{"code":"11750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Wedge Excision Of Skin Of Nail Fold","code_information":[{"code":"65309","type":"CDM"},{"code":"450","type":"RC"},{"code":"11765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65313","type":"CDM"},{"code":"450","type":"RC"},{"code":"12005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65318","type":"CDM"},{"code":"450","type":"RC"},{"code":"12031","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65319","type":"CDM"},{"code":"450","type":"RC"},{"code":"12032","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65320","type":"CDM"},{"code":"450","type":"RC"},{"code":"12034","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65321","type":"CDM"},{"code":"450","type":"RC"},{"code":"12041","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65322","type":"CDM"},{"code":"450","type":"RC"},{"code":"12042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65323","type":"CDM"},{"code":"450","type":"RC"},{"code":"12051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65324","type":"CDM"},{"code":"450","type":"RC"},{"code":"12052","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Repair Wound Dehiscence W/ Packing","code_information":[{"code":"65441","type":"CDM"},{"code":"450","type":"RC"},{"code":"12021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65493","type":"CDM"},{"code":"450","type":"RC"},{"code":"12006","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65495","type":"CDM"},{"code":"450","type":"RC"},{"code":"12016","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65496","type":"CDM"},{"code":"450","type":"RC"},{"code":"12017","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Scalp/axil/trk/extrm Exc Hnd/ft","code_information":[{"code":"65498","type":"CDM"},{"code":"450","type":"RC"},{"code":"12035","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Neck/hand/feet/ext Gen","code_information":[{"code":"65503","type":"CDM"},{"code":"450","type":"RC"},{"code":"12046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65505","type":"CDM"},{"code":"450","type":"RC"},{"code":"12053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65506","type":"CDM"},{"code":"450","type":"RC"},{"code":"12054","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65507","type":"CDM"},{"code":"450","type":"RC"},{"code":"12055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65508","type":"CDM"},{"code":"450","type":"RC"},{"code":"12056","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Intmdrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65509","type":"CDM"},{"code":"450","type":"RC"},{"code":"12057","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Cmplrpr Fhd/chk/chn/mth/nck/axil/gen/h/f","code_information":[{"code":"65516","type":"CDM"},{"code":"450","type":"RC"},{"code":"13131","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Inj Trigger Point 1 Or 2 Muscles","code_information":[{"code":"850070","type":"CDM"},{"code":"360","type":"RC"},{"code":"20552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Chlorpromazine Amp 25mg/ml","code_information":[{"code":"307552","type":"CDM"},{"code":"636","type":"RC"},{"code":"64113","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Daptomycin  Vial 500mg","code_information":[{"code":"304226","type":"CDM"},{"code":"250","type":"RC"},{"code":"70301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Diazepam Inj Carp 10mg/2ml","code_information":[{"code":"300512","type":"CDM"},{"code":"250","type":"RC"},{"code":"40912","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Insulin Lispro Kwikpen 300units/3ml","code_information":[{"code":"309436-59","type":"CDM"},{"code":"637","type":"RC"},{"code":"28799","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":300,"type":"UN"}},{"description":"Magnesium Sulf. 50% Syringe 5gm/10ml","code_information":[{"code":"304263","type":"CDM"},{"code":"636","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Nicardipine Vial 25mg/10ml","code_information":[{"code":"312095","type":"CDM"},{"code":"250","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Potassium Phosphate Vial 15mmol/5ml","code_information":[{"code":"312633","type":"CDM"},{"code":"250","type":"RC"},{"code":"80830169303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Ccpptetanus Diptheria Tox Adult Inj.","code_information":[{"code":"301710","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP301710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-gemcitabine Inj. 1gm","code_information":[{"code":"303311","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9201","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ferrlecit Inj 62.5mg/5ml","code_information":[{"code":"304121","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2916","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Magnivist 46.9% Vial 15ml","code_information":[{"code":"306220","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP306220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}]},{"description":"Insulin Lispro Kwikpen 300units/3ml","code_information":[{"code":"309436","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP309436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Penicillin-g Vial 20mu","code_information":[{"code":"311840","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2540","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":384,"gross_charge":420,"discounted_cash":315,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":384},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":185}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bladder Cancer (Fish)quest","code_information":[{"code":"758853","type":"CDM"},{"code":"300","type":"RC"},{"code":"88121","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Comp Rvs 2.7mm Dia Drl","code_information":[{"code":"53169","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53169","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Plate Mini Straight 4 Hole","code_information":[{"code":"48716","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48716","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Biopsy Of Mouth Lesion","code_information":[{"code":"CP17585600566602654","type":"CDM"},{"code":"521","type":"RC"},{"code":"40808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Biopsy Of Mouth Lesion","code_information":[{"code":"CP17585603283916138","type":"CDM"},{"code":"510","type":"RC"},{"code":"40808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Chest Frontal (1 View)","code_information":[{"code":"39011","type":"CDM"},{"code":"324","type":"RC"},{"code":"71045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Toes-l (Multiple)","code_information":[{"code":"39427-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Toes-r (Multiple)","code_information":[{"code":"39428-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Hip Centralizer 11mm Diameter","code_information":[{"code":"48428","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Tourniquet Cuff 34  Disp Dpsb W/ Sleeve","code_information":[{"code":"52536","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":87,"maximum":383,"gross_charge":419,"discounted_cash":314,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":383},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":184}]}]},{"description":"Initial Obsv Care, 3 Key Components: Com","code_information":[{"code":"CP17585600566676246","type":"CDM"},{"code":"521","type":"RC"},{"code":"99220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":382,"gross_charge":417,"discounted_cash":313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Insertion  Intrauterine Device","code_information":[{"code":"CP17585600566678759","type":"CDM"},{"code":"521","type":"RC"},{"code":"58300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":382,"gross_charge":417,"discounted_cash":313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Initial Obsv Care, 3 Key Components: Com","code_information":[{"code":"CP17585603283941389","type":"CDM"},{"code":"510","type":"RC"},{"code":"99220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":382,"gross_charge":417,"discounted_cash":313,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":382},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"31605 Tracheostomy Emerg Cricothyroid","code_information":[{"code":"CP17585603283892227","type":"CDM"},{"code":"510","type":"RC"},{"code":"31605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":381,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Microscopic Multiple; Level Vdcpa","code_information":[{"code":"17005","type":"CDM"},{"code":"310","type":"RC"},{"code":"88307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":381,"gross_charge":416,"discounted_cash":312,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":381},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"69000 Drain Ext Ear Lesion","code_information":[{"code":"CP17585603283909487","type":"CDM"},{"code":"510","type":"RC"},{"code":"69000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":380,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"St Evaluation Of Speech Fluency","code_information":[{"code":"55469-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92521","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":86,"maximum":380,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Insitu Hybridization, Each Additional","code_information":[{"code":"758118","type":"CDM"},{"code":"312","type":"RC"},{"code":"88365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":380,"gross_charge":415,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":380},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":374},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":183}]}]},{"description":"Dress Collagen-matrix 19.1sq.in. Prism","code_information":[{"code":"52251","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52251","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Zz Allanfill:30g","code_information":[{"code":"304170","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Endscp Snare Crescent","code_information":[{"code":"49037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Obs Vacuum Cup 65mm Silicone","code_information":[{"code":"49354","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49354","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Endscp Snare Hexagonal","code_information":[{"code":"49740","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49740","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Lap Trocar Hernia Rpr 5mm Short (Single)","code_information":[{"code":"50172","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50172","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Chest Drainage Unit Infant Single Chambr","code_information":[{"code":"50226","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Im Nail Screw Cort 4.2mm X 35mm","code_information":[{"code":"50462","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50462","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Im Nail Screw Cort 4.2mm X 45mm","code_information":[{"code":"50463","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50463","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Im Nail Screw Cort 4.2mm X 25mm","code_information":[{"code":"50464","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50464","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"27093 Inj Proc For Hip Arthro W/o Anes","code_information":[{"code":"CP17585603283874360","type":"CDM"},{"code":"510","type":"RC"},{"code":"27093","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"64727 Internal Neurolysis Add To Neuropl","code_information":[{"code":"CP17585603283909826","type":"CDM"},{"code":"510","type":"RC"},{"code":"64727","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":86,"maximum":379,"gross_charge":414,"discounted_cash":311,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":379},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Cyclopentolate 2% Opth. Soln. 5ml","code_information":[{"code":"309325-70","type":"CDM"},{"code":"250","type":"RC"},{"code":"65039","type":"CPT","modifier":"70"}],"standard_charges":[{"setting":"outpatient","modifier_code":["70"],"minimum":85,"maximum":378,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Cyclopentolate 2% Opth. Soln. 5ml","code_information":[{"code":"309325","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP309325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":378,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Slit Knife 2.4 Single Bevel","code_information":[{"code":"52462","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52462","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":378,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Uretrl Stent Guidewire 0.038  Straight","code_information":[{"code":"49839","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":378,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"Uretrl Stent Guidewire 0.038  Flex Tip","code_information":[{"code":"50057","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":378,"gross_charge":413,"discounted_cash":310,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":378},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":182}]}]},{"description":"11442 Exc Ben Lesion Feenlm 1.1-2.0 Cm","code_information":[{"code":"CP17585600566580314","type":"CDM"},{"code":"521","type":"RC"},{"code":"11442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":377,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"11442 Exc Ben Lesion Feenlm 1.1-2.0 Cm","code_information":[{"code":"CP17585603283832236","type":"CDM"},{"code":"510","type":"RC"},{"code":"11442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":377,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"Mdi Spacerhand Held Pedi Sml Mask","code_information":[{"code":"60186","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60186","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":377,"gross_charge":412,"discounted_cash":309,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":377},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":".Quantitation Of Therapeutic Drug, Not E","code_information":[{"code":"758184","type":"CDM"},{"code":"300","type":"RC"},{"code":"80280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":376,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":".Chemiluminescent Assay","code_information":[{"code":"758185","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":376,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"30300 Removal Foreign Body Intranasal","code_information":[{"code":"CP17585603283899475","type":"CDM"},{"code":"510","type":"RC"},{"code":"30300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":376,"gross_charge":411,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":376},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":181}]}]},{"description":"Home Visit New Pt 3 Key Components:compr","code_information":[{"code":"CP17585600566658482","type":"CDM"},{"code":"522","type":"RC"},{"code":"99344","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":375,"gross_charge":410,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Home Visit New Pt 3 Key Components:compr","code_information":[{"code":"CP17585603283938591","type":"CDM"},{"code":"510","type":"RC"},{"code":"99344","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":85,"maximum":375,"gross_charge":410,"discounted_cash":308,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":375},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Lap Kittner Blunt Dssctr 5mm Dual Tip","code_information":[{"code":"52166","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52166","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":373,"gross_charge":408,"discounted_cash":306,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":373},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":180}]}]},{"description":"Lap Veress Needle 120mm","code_information":[{"code":"49803","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":372,"gross_charge":407,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Ortho Acl Disp Procedure Kit","code_information":[{"code":"52526","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52526","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":372,"gross_charge":407,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":372},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":366},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Debridement-subcutaneous","code_information":[{"code":"69003","type":"CDM"},{"code":"761","type":"RC"},{"code":"11042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":371,"gross_charge":406,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"Calr Mutation Analysisquest","code_information":[{"code":"758559","type":"CDM"},{"code":"300","type":"RC"},{"code":"81219","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":371,"gross_charge":406,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":".Calr (Calreticulin) Myeloprofil Disord","code_information":[{"code":"758613","type":"CDM"},{"code":"300","type":"RC"},{"code":"81219","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":371,"gross_charge":406,"discounted_cash":305,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":179}]}]},{"description":"46320 Enucl/exc Ext Thromb Hemorrhoid","code_information":[{"code":"CP17585603283904712","type":"CDM"},{"code":"510","type":"RC"},{"code":"46320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":371,"gross_charge":405,"discounted_cash":304,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":371},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":".Transfusion Filter Wbc Removal 1rbc","code_information":[{"code":"49392","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":84,"maximum":370,"gross_charge":404,"discounted_cash":303,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":370},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":178}]}]},{"description":"Support Ankle Small","code_information":[{"code":"49379","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":369,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Iohexol Vial 35000mg/100ml","code_information":[{"code":"312222","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":369,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27275 Manipulation Of Hip Joint","code_information":[{"code":"CP17585603283875603","type":"CDM"},{"code":"510","type":"RC"},{"code":"27275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":369,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Expanded Respiratory Virus Pcrquest","code_information":[{"code":"757261","type":"CDM"},{"code":"300","type":"RC"},{"code":"87632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":369,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Obs Vacuum Cup 60mm Silicone","code_information":[{"code":"49353","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":369,"gross_charge":403,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":369},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"St Aphasia Evaluation Per Hour","code_information":[{"code":"55216-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"96105","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":83,"maximum":368,"gross_charge":402,"discounted_cash":302,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":368},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":177}]}]},{"description":"Cath Fogarty Venous Irr. 10fr","code_information":[{"code":"49559","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49559","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":367,"gross_charge":401,"discounted_cash":301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Retainer Viscera Medium","code_information":[{"code":"49837","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":367,"gross_charge":401,"discounted_cash":301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Amniocentesis, Therapeutic","code_information":[{"code":"CP17585600566592505","type":"CDM"},{"code":"521","type":"RC"},{"code":"59001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":367,"gross_charge":401,"discounted_cash":301,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":367},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Home Visit Est Pt 2+ Key Components:comp","code_information":[{"code":"CP17585600566635145","type":"CDM"},{"code":"522","type":"RC"},{"code":"99350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":365,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Home Visit Est Pt 2+ Key Components:comp","code_information":[{"code":"CP17585603283927162","type":"CDM"},{"code":"510","type":"RC"},{"code":"99350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":365,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Anesthesia General Anesthesia","code_information":[{"code":"13380002","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":83,"maximum":365,"gross_charge":399,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":365},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":176}]}]},{"description":"Excision, Nail/nail Matrix, Permanent Re","code_information":[{"code":"CP17585600566638985","type":"CDM"},{"code":"521","type":"RC"},{"code":"11750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":364,"gross_charge":398,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Excision, Nail/nail Matrix, Permanent Re","code_information":[{"code":"CP17585603283919886","type":"CDM"},{"code":"510","type":"RC"},{"code":"11750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":364,"gross_charge":398,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"I/d Vulva/perineal Abscess","code_information":[{"code":"65382","type":"CDM"},{"code":"450","type":"RC"},{"code":"56405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":364,"gross_charge":398,"discounted_cash":299,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":364},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"Opt Morgan Lens","code_information":[{"code":"49545","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":363,"gross_charge":397,"discounted_cash":298,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":363},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":357},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":175}]}]},{"description":"13133 Repr Wound/lesion Add-on","code_information":[{"code":"CP17585603283838730","type":"CDM"},{"code":"510","type":"RC"},{"code":"13133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":362,"gross_charge":396,"discounted_cash":297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Shaving of shoulder bone using endoscope","code_information":[{"code":"CP17585603283897778","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"29826","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":362,"gross_charge":396,"discounted_cash":297,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":362},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":174}]}]},{"description":"Zz Travatan 0.004% Opth Solution","code_information":[{"code":"304232","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":82,"maximum":361,"gross_charge":395,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":356},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":174}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"St Speech Treatment","code_information":[{"code":"55273-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92507","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":81,"maximum":361,"gross_charge":394,"discounted_cash":296,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":361},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Splint Posterior T/f Knee Sml Child Plas","code_information":[{"code":"49954","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":360,"gross_charge":393,"discounted_cash":295,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":360},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":173}]}]},{"description":"Mask Bi-pap Nasal W/headstrap Sml/med","code_information":[{"code":"60363","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":359,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"10080 I&d Pilonidal Cyst Simple","code_information":[{"code":"CP17585600566570843","type":"CDM"},{"code":"521","type":"RC"},{"code":"10080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":359,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"10080 I&d Pilonidal Cyst Simple","code_information":[{"code":"CP17585603283822877","type":"CDM"},{"code":"510","type":"RC"},{"code":"10080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":359,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"27860 Manip Ankle Gen Anes W Fixation","code_information":[{"code":"CP17585603283885658","type":"CDM"},{"code":"510","type":"RC"},{"code":"27860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":359,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"28635 Cl Tx Of Mtp Dislocation W Anesth","code_information":[{"code":"CP17585603283883625","type":"CDM"},{"code":"510","type":"RC"},{"code":"28635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":359,"gross_charge":392,"discounted_cash":294,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":359},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Ex.fix. Clamp 4.0mm To 2.5mm","code_information":[{"code":"48129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Ex.fix. Clamp 4.0mm To 4.0mm","code_information":[{"code":"48130","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Guide Pin Ss 3.2mm X 300mm Calibrated","code_information":[{"code":"48538","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  30mm","code_information":[{"code":"50871","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50871","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  35mm","code_information":[{"code":"50872","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  40mm","code_information":[{"code":"50873","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  45mm","code_information":[{"code":"50874","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50874","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  50mm","code_information":[{"code":"50875","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50875","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  55mm","code_information":[{"code":"50876","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50876","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  60mm","code_information":[{"code":"50877","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50877","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  65mm","code_information":[{"code":"50878","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50878","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  70mm","code_information":[{"code":"50879","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50879","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  75mm","code_information":[{"code":"50880","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 16mm Thrd  80mm","code_information":[{"code":"50881","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  45mm","code_information":[{"code":"50888","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50888","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  50mm","code_information":[{"code":"50889","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50889","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  55mm","code_information":[{"code":"50890","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  60mm","code_information":[{"code":"50891","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  65mm","code_information":[{"code":"50892","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50892","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  70mm","code_information":[{"code":"50893","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50893","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  75mm","code_information":[{"code":"50894","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm 32mm Thrd  80mm","code_information":[{"code":"50895","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50895","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 25mm","code_information":[{"code":"50902","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50902","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 30mm","code_information":[{"code":"50903","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 35mm","code_information":[{"code":"50904","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50904","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 40mm","code_information":[{"code":"50905","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50905","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 45mm","code_information":[{"code":"50906","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50906","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 50mm","code_information":[{"code":"50907","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50907","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 55mm","code_information":[{"code":"50908","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50908","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Screw Ti Canc.6.5mm Full Thrd 60mm","code_information":[{"code":"50909","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Day Bed","code_information":[{"code":"80010","type":"CDM"},{"code":"499","type":"RC"},{"code":"CP80010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":81,"maximum":358,"gross_charge":391,"discounted_cash":293,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":358},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":172}]}]},{"description":"Incision, Thrombosed Hemorrhoid, Ext","code_information":[{"code":"CP17585603283940254","type":"CDM"},{"code":"510","type":"RC"},{"code":"46083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":355,"gross_charge":388,"discounted_cash":291,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":355},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":171}]}]},{"description":"Splint Posterior Leg-knee Medium","code_information":[{"code":"49594","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Splint Posterior Leg-knee Small","code_information":[{"code":"49595","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Splint Posterior Leg-knee Large","code_information":[{"code":"49596","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2116","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Holter Monitor > 48 Hr To < 7 Day","code_information":[{"code":"36014","type":"CDM"},{"code":"731","type":"RC"},{"code":"93242","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Sternum (1 View)","code_information":[{"code":"39158-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"71120","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Lumbar (1 View)","code_information":[{"code":"39299-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"72100","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Orthosis  Hip Adj Flex Abduction Cont","code_information":[{"code":"51962","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2624","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Ot Evaluation, Low Complexity","code_information":[{"code":"55247-GO","type":"CDM"},{"code":"434","type":"RC"},{"code":"97165","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":".Enterovirus Pcr","code_information":[{"code":"758300","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":354,"gross_charge":387,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":354},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Endscp Snare Oval","code_information":[{"code":"49036","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":353,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Patella Tape Kit","code_information":[{"code":"49962","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":353,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Endscp Snare Oval Medium","code_information":[{"code":"50352","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50352","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":353,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Endscp Snare Lasso 3-in-1 Hex Snare","code_information":[{"code":"52476","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52476","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":353,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Endscp Snare Oval 15mm","code_information":[{"code":"53002","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":353,"gross_charge":386,"discounted_cash":290,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":353},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":170}]}]},{"description":"Ac Jts Bilateral","code_information":[{"code":"39014","type":"CDM"},{"code":"320","type":"RC"},{"code":"73050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Sella Turcica","code_information":[{"code":"39061","type":"CDM"},{"code":"320","type":"RC"},{"code":"70240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Neck Soft Tissue","code_information":[{"code":"39095","type":"CDM"},{"code":"320","type":"RC"},{"code":"70360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Orbitsr/o Foreign Body","code_information":[{"code":"39107","type":"CDM"},{"code":"320","type":"RC"},{"code":"70030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Foreign Body Series Nose-rectum","code_information":[{"code":"39122","type":"CDM"},{"code":"320","type":"RC"},{"code":"76010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-l (Thumb)","code_information":[{"code":"39201-FA","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"FA"}],"standard_charges":[{"setting":"outpatient","modifier_code":["FA"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-l (2nd Digit)","code_information":[{"code":"39202-F1","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F1"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-l (3rd Digit)","code_information":[{"code":"39203-F2","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F2"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F2"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-l (4th Digit)","code_information":[{"code":"39204-F3","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F3"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F3"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-l (5th Digit)","code_information":[{"code":"39205-F4","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F4"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F4"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-r (Thumb)","code_information":[{"code":"39206-F9","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F9"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F9"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-r (2nd Digit)","code_information":[{"code":"39207-F6","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F6"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F6"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-r (3rd Digit)","code_information":[{"code":"39208-F7","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F7"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F7"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-r (4th Digit)","code_information":[{"code":"39209-F8","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F8"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F8"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Finger-r (5th Digit)","code_information":[{"code":"39210-F9","type":"CDM"},{"code":"320","type":"RC"},{"code":"73140","type":"CPT","modifier":"F9"}],"standard_charges":[{"setting":"outpatient","modifier_code":["F9"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-l (Great)","code_information":[{"code":"39211-TA","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"TA"}],"standard_charges":[{"setting":"outpatient","modifier_code":["TA"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-l (2nd Digit)","code_information":[{"code":"39212-T1","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T1"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-l (3rd Digit)","code_information":[{"code":"39213-T2","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T2"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T2"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-l (4th Digit)","code_information":[{"code":"39214-T3","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T3"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T3"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-l (5th Digit)","code_information":[{"code":"39215-T4","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T4"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T4"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-r (Great)","code_information":[{"code":"39216-T5","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T5"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T5"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-r (2nd Digit)","code_information":[{"code":"39217-T6","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T6"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T6"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-r (3rd Digit)","code_information":[{"code":"39218-T7","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T7"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T7"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-r (4th Digit)","code_information":[{"code":"39219-T8","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T8"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T8"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Toe-r (5th Digit)","code_information":[{"code":"39220-T9","type":"CDM"},{"code":"320","type":"RC"},{"code":"73660","type":"CPT","modifier":"T9"}],"standard_charges":[{"setting":"outpatient","modifier_code":["T9"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Shoulder-r (1 View)","code_information":[{"code":"39225-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Shoulder-l (1 View)","code_information":[{"code":"39226-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73020","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Clavicle-r Comp","code_information":[{"code":"39229-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Clavicle-l Comp","code_information":[{"code":"39230-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73000","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Scapula-r Complete","code_information":[{"code":"39231-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Scapula-l Complete","code_information":[{"code":"39232-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73010","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Elbow-r (2 Views)","code_information":[{"code":"39235-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Elbow-l (2 Views)","code_information":[{"code":"39236-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Elbow-r (3 Views Min)","code_information":[{"code":"39237-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Elbow-l (3 Views Min)","code_information":[{"code":"39238-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73080","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Forearm-r (2 Views Min)","code_information":[{"code":"39239-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Forearm-l (2 Views Min)","code_information":[{"code":"39240-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Lower Leg-r (2 Views)","code_information":[{"code":"39247-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Lower Leg-l (2 Views)","code_information":[{"code":"39248-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Ankle-r (2 Views)","code_information":[{"code":"39249-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Ankle-l (2 Views)","code_information":[{"code":"39250-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Foot-r (2 Views)","code_information":[{"code":"39253-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Foot-l (2 Views)","code_information":[{"code":"39254-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Heel-r (2 Views)","code_information":[{"code":"39257-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Heel-l (2 Views)","code_information":[{"code":"39258-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Wrist-r (2 Views Min)","code_information":[{"code":"39267-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Wrist-l (2 Views Min)","code_information":[{"code":"39268-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Wrist-r (3 Views Min)","code_information":[{"code":"39269-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Wrist-l (3 Views Min)","code_information":[{"code":"39270-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73110","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Hip-r (1 View)","code_information":[{"code":"39275-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Hip-l (1 View)","code_information":[{"code":"39276-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73501","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Hip-r W Pelvis","code_information":[{"code":"39279-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Hip-l W Pelvis","code_information":[{"code":"39280-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73502","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Femur-r (2 Views)","code_information":[{"code":"39281-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Femur-l (2 Views)","code_information":[{"code":"39292-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73552","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Sacrum Coccyx (2 Views Min)","code_information":[{"code":"39370","type":"CDM"},{"code":"320","type":"RC"},{"code":"72220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Low Ext-r (Under 1 Year Old)","code_information":[{"code":"39371-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73592","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Low Ext-l (Under 1 Year Old)","code_information":[{"code":"39372-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73592","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Bone Densitometry Appendage","code_information":[{"code":"39387","type":"CDM"},{"code":"320","type":"RC"},{"code":"77081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Ss 1/3 Tubular 3 Hole","code_information":[{"code":"48641","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48641","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":80,"maximum":352,"gross_charge":385,"discounted_cash":289,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":352},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Ss 1/3 Tubular 2 Hole","code_information":[{"code":"48640","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Mini Oblique Left","code_information":[{"code":"48712","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Mini Oblique Right","code_information":[{"code":"48713","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48713","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Mini Left-right","code_information":[{"code":"48714","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48714","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Mini Straight 3 Hole","code_information":[{"code":"48715","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48715","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Small Oblique Left","code_information":[{"code":"48718","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48718","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Small Oblique Right","code_information":[{"code":"48719","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48719","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Plate Epiphysis Small Left-right","code_information":[{"code":"48720","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48720","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566632240","type":"CDM"},{"code":"521","type":"RC"},{"code":"11422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Injection Diag Agent Para Facet","code_information":[{"code":"CP17585600566672825","type":"CDM"},{"code":"521","type":"RC"},{"code":"64493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283910032","type":"CDM"},{"code":"510","type":"RC"},{"code":"11422","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Injection Diag Agent Para Facet","code_information":[{"code":"CP17585603283943630","type":"CDM"},{"code":"510","type":"RC"},{"code":"64493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":351,"gross_charge":384,"discounted_cash":288,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":351},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":346},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Tourniquet Cuff 42  Disp  Cuff","code_information":[{"code":"52935","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":350,"gross_charge":383,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Drill Hard Bone  2.9mm","code_information":[{"code":"52948","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":350,"gross_charge":383,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Splint Long Coil Finger Extension Large","code_information":[{"code":"50201","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":350,"gross_charge":383,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Dest Lumbar Sac Addtl Facet/jt","code_information":[{"code":"CP17585603283911461","type":"CDM"},{"code":"510","type":"RC"},{"code":"64636","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":350,"gross_charge":383,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":169}]}]},{"description":"Hui Harris Uterine Injector 4mm","code_information":[{"code":"49082","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":350,"gross_charge":382,"discounted_cash":287,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":350},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Medicare Awv Initial","code_information":[{"code":"CP17585600566686037","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0438","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":349,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Abduction Pillow Small","code_information":[{"code":"49943","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":349,"gross_charge":381,"discounted_cash":286,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":349},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":168}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:com","code_information":[{"code":"CP17585600566683312","type":"CDM"},{"code":"521","type":"RC"},{"code":"99235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":348,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:com","code_information":[{"code":"CP17585603283949466","type":"CDM"},{"code":"510","type":"RC"},{"code":"99235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":79,"maximum":348,"gross_charge":380,"discounted_cash":285,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":348},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Levofloxacin Iv 500 Mg Temp","code_information":[{"code":"304493","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1956","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":347,"gross_charge":379,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":167}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Adenovirus Rt-pcr","code_information":[{"code":"758299","type":"CDM"},{"code":"300","type":"RC"},{"code":"87809","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":347,"gross_charge":379,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Knee Immobilizer 28  Universal","code_information":[{"code":"49961","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":347,"gross_charge":379,"discounted_cash":284,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":347},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":167}]}]},{"description":"Microdisection; Manualdcpa","code_information":[{"code":"17028","type":"CDM"},{"code":"310","type":"RC"},{"code":"88381","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":345,"gross_charge":377,"discounted_cash":283,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":345},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":166}]}]},{"description":"67810 Biopsy Of Eyelid","code_information":[{"code":"CP17585603283901827","type":"CDM"},{"code":"510","type":"RC"},{"code":"67810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":344,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Support Ankle Aircast Medium Right","code_information":[{"code":"50276","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":344,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Support Ankle Aircast Small Left","code_information":[{"code":"50277","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":344,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Support Ankle Aircast Small Right","code_information":[{"code":"50278","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":78,"maximum":344,"gross_charge":376,"discounted_cash":282,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":344},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Pt Evaluation, Moderate Complexity","code_information":[{"code":"55225-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97162","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":78,"maximum":343,"gross_charge":375,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"I/d Drainage Of Abscess Bilateral","code_information":[{"code":"65918-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"10060","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":78,"maximum":343,"gross_charge":375,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":343},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Ortho Cement Sculps Disposable","code_information":[{"code":"50415","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":342,"gross_charge":374,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Ortho Quick Use Curette","code_information":[{"code":"52506","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52506","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":342,"gross_charge":374,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Nursing Facility Care, 3 Key Components:","code_information":[{"code":"CP17585600566683715","type":"CDM"},{"code":"521","type":"RC"},{"code":"99306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":342,"gross_charge":374,"discounted_cash":281,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":342},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":165}]}]},{"description":"Saw Blade Oxf Stryker Cmntd","code_information":[{"code":"53149","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":341,"gross_charge":373,"discounted_cash":280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"E-surg Electrode Rad Loop 15mmx5mm","code_information":[{"code":"52162","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":341,"gross_charge":373,"discounted_cash":280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"E-surg Electrode Rad Loop 10mmx10mm","code_information":[{"code":"52163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":341,"gross_charge":373,"discounted_cash":280,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":341},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"20220 Bone Bx Trocar/needle","code_information":[{"code":"CP17585603283831907","type":"CDM"},{"code":"510","type":"RC"},{"code":"20220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":340,"gross_charge":372,"discounted_cash":279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Anesthesia Monitored Anesthesia Care","code_information":[{"code":"13380001","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":340,"gross_charge":372,"discounted_cash":279,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":340},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":164}]}]},{"description":"Medicare Ippe Exam","code_information":[{"code":"CP17585600566685474","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0402","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":371,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Mdi Spacerhand Held Pedi Med Mask","code_information":[{"code":"60187","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":371,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Support Ankle Aircast Medium Left","code_information":[{"code":"50275","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":370,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Iv Push Single Or Initial Drug","code_information":[{"code":"65417","type":"CDM"},{"code":"450","type":"RC"},{"code":"96374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":370,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Np Consult Limited 16-30 Min","code_information":[{"code":"69007","type":"CDM"},{"code":"761","type":"RC"},{"code":"99202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":370,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Ep Visit Extended 46-60 Min","code_information":[{"code":"69014","type":"CDM"},{"code":"761","type":"RC"},{"code":"99214","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":77,"maximum":339,"gross_charge":370,"discounted_cash":278,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":339},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":163}]}]},{"description":"Zz Travoprost(travatan)0.004%","code_information":[{"code":"304185","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304185","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":338,"gross_charge":369,"discounted_cash":277,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":338},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Excision, Other Benign Lesion, Face/ears","code_information":[{"code":"CP17585600566636966","type":"CDM"},{"code":"521","type":"RC"},{"code":"11441","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Excision, Other Benign Lesion, Face/ears","code_information":[{"code":"CP17585603283911490","type":"CDM"},{"code":"510","type":"RC"},{"code":"11441","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Gastric Intub/aspiration Therapeutic","code_information":[{"code":"65375","type":"CDM"},{"code":"450","type":"RC"},{"code":"43753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Cardiopulmonary Resuscitation","code_information":[{"code":"65404","type":"CDM"},{"code":"450","type":"RC"},{"code":"92950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":".Unlisted Molecular Pathology Procedure","code_information":[{"code":"758616","type":"CDM"},{"code":"300","type":"RC"},{"code":"81479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":".Carboxyhemoglobin Statdech","code_information":[{"code":"75013","type":"CDM"},{"code":"300","type":"RC"},{"code":"82375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":337,"gross_charge":368,"discounted_cash":276,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":337},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":162}]}]},{"description":"Ortho Nut","code_information":[{"code":"48658","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":336,"gross_charge":367,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"11765 Wedge Excision Skin Of Nail Fold","code_information":[{"code":"CP17585600566592097","type":"CDM"},{"code":"521","type":"RC"},{"code":"11765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":336,"gross_charge":367,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"11765 Wedge Excision Skin Of Nail Fold","code_information":[{"code":"CP17585603283833345","type":"CDM"},{"code":"510","type":"RC"},{"code":"11765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":336,"gross_charge":367,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":336},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Healing Shoe Heelwedge Med","code_information":[{"code":"52109","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":335,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Ultra Flow Bimanual Ia","code_information":[{"code":"52460","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":335,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"New patient office or other outpatient visit, 45 min","code_information":[{"code":"CP17585600566686376","type":"CDM"},{"code":"521","type":"RC"},{"code":"99204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":335,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"New patient office or other outpatient visit, 45 min","code_information":[{"code":"CP17585603283943050","type":"CDM"},{"code":"521","type":"RC"},{"code":"99204","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":76,"maximum":335,"gross_charge":366,"discounted_cash":275,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":335},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Tcm Moderate Level Of Medical Decision Making Within 2 Business Days Of Discharge","code_information":[{"code":"CP17585600566728323","type":"CDM"},{"code":"521","type":"RC"},{"code":"99495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":334,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"45330 Sigmoidoscopy Flexible","code_information":[{"code":"CP17585603283902650","type":"CDM"},{"code":"510","type":"RC"},{"code":"45330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":334,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"49180 Bx Abd/retroper Mass Percut Needle","code_information":[{"code":"CP17585603283909988","type":"CDM"},{"code":"510","type":"RC"},{"code":"49180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":334,"gross_charge":365,"discounted_cash":274,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":334},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":161}]}]},{"description":"Hip Lateral Positioner Pad","code_information":[{"code":"48499","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":333,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Support Ankle Regular","code_information":[{"code":"49380","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":333,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Triamcinolone(nasacort Aq)nasal:16.5gm-","code_information":[{"code":"302826","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":333,"gross_charge":364,"discounted_cash":273,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":333},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Opt Knife Crescent Chiron","code_information":[{"code":"49978","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49978","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":332,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Ortho Staple 5/8  X 3/4 (16mm X 19mm)","code_information":[{"code":"50826","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":332,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Ortho Staple 5/16  X 1  (8.7mm X 25.4mm)","code_information":[{"code":"50828","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":332,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Ortho Staple 5/16 X 7/8 (8.7mm X 22mm)","code_information":[{"code":"50829","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":332,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Initial Inpt Consult, 3 Key Components:c","code_information":[{"code":"CP17585603283948450","type":"CDM"},{"code":"510","type":"RC"},{"code":"99254","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":332,"gross_charge":363,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":332},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":160}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566632009","type":"CDM"},{"code":"521","type":"RC"},{"code":"11402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283912060","type":"CDM"},{"code":"510","type":"RC"},{"code":"11402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Biopsy Needle 13g 3 1/2","code_information":[{"code":"49190","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49190","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Intmd Joint/bursa","code_information":[{"code":"65328","type":"CDM"},{"code":"450","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Major Joint/bursa","code_information":[{"code":"65329","type":"CDM"},{"code":"450","type":"RC"},{"code":"20610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Injection Anes Agent Trigeminal Nerve","code_information":[{"code":"65385","type":"CDM"},{"code":"450","type":"RC"},{"code":"64400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Arthrocentesis-asp/inj Small","code_information":[{"code":"65442","type":"CDM"},{"code":"450","type":"RC"},{"code":"20600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Injection Trigger Point Single/multiple","code_information":[{"code":"65528","type":"CDM"},{"code":"450","type":"RC"},{"code":"20552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Injection Tendon/ligament Single","code_information":[{"code":"65539","type":"CDM"},{"code":"450","type":"RC"},{"code":"20550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Inj, Anesth Agent, Greater Occipital Ner","code_information":[{"code":"65995","type":"CDM"},{"code":"450","type":"RC"},{"code":"64405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":331,"gross_charge":362,"discounted_cash":272,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":331},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":326},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Mask Bi-pap Ff W/headgear Lrg-respironic","code_information":[{"code":"60357","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60357","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Mask Bi-pap Ff W/headgear Sml-respironic","code_information":[{"code":"60358","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Mask Bi-pap Ff W/headgear Med-respironic","code_information":[{"code":"60359","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Mask Bi-pap Ff W/headgear Xl-respironic","code_information":[{"code":"60368","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Wound Drain Kit 400cc 1/4 Drain W/trocar","code_information":[{"code":"49514","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49514","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Posaconazolequest","code_information":[{"code":"758637","type":"CDM"},{"code":"300","type":"RC"},{"code":"80187","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"28515 Cl Tx Fx Phalanx Not Gr Toe W Mani","code_information":[{"code":"CP17585603283889899","type":"CDM"},{"code":"510","type":"RC"},{"code":"28515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":75,"maximum":330,"gross_charge":361,"discounted_cash":271,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":330},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":325},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":159}]}]},{"description":"Nasal Cann Oxymizer Adult","code_information":[{"code":"60189","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":329,"gross_charge":360,"discounted_cash":270,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":329},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"10140 I&d Hematoma, Seroma, Fluid","code_information":[{"code":"CP17585600566575095","type":"CDM"},{"code":"521","type":"RC"},{"code":"10140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":328,"gross_charge":359,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"10140 I&d Hematoma, Seroma, Fluid","code_information":[{"code":"CP17585603283827326","type":"CDM"},{"code":"510","type":"RC"},{"code":"10140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":328,"gross_charge":359,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"850056-50","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":74,"maximum":328,"gross_charge":359,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Endscp Lesion/polyp Marking Device Spot","code_information":[{"code":"50254","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50254","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":328,"gross_charge":359,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Inj Proc For Sacroiliac Joint","code_information":[{"code":"CP17585600566670546","type":"CDM"},{"code":"521","type":"RC"},{"code":"27096","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":328,"gross_charge":358,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Inj Proc For Sacroiliac Joint","code_information":[{"code":"CP17585603283946931","type":"CDM"},{"code":"510","type":"RC"},{"code":"27096","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":328,"gross_charge":358,"discounted_cash":269,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":328},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":158}]}]},{"description":"Support Ankle Aircast Large Left","code_information":[{"code":"50273","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Support Ankle Aircast Universal","code_information":[{"code":"502068","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Knee Immobilizers 3 Panel Splint  12  Ob","code_information":[{"code":"502102","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Knee Immobilizers 3 Panel Splint  16  Ob","code_information":[{"code":"502103","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Knee Immobilizers 3 Panel Splint  20  Ob","code_information":[{"code":"502104","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Knee Immobilizers 3 Panel Splint  24 Ob","code_information":[{"code":"502105","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Wrist Splint Universal Left","code_information":[{"code":"502106","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Wrist Splint Universal Right","code_information":[{"code":"502107","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Splint Thumb-o-prene Universal","code_information":[{"code":"502108","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":74,"maximum":327,"gross_charge":357,"discounted_cash":268,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":327},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":157}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  60mm","code_information":[{"code":"48833","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  70mm","code_information":[{"code":"48835","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  75mm","code_information":[{"code":"48836","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  80mm","code_information":[{"code":"48837","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  85mm","code_information":[{"code":"48838","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Wound Drain Flat Full Perf Silicone 10mm","code_information":[{"code":"50120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Holter Monitor 48 Hr","code_information":[{"code":"36013","type":"CDM"},{"code":"731","type":"RC"},{"code":"93225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Mammography of one breast","code_information":[{"code":"39265-RT","type":"CDM"},{"code":"401","type":"RC"},{"code":"77065","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Mammography of one breast","code_information":[{"code":"39266-LT","type":"CDM"},{"code":"401","type":"RC"},{"code":"77065","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"H.pylori Nm Breath Test X Ray","code_information":[{"code":"751183","type":"CDM"},{"code":"300","type":"RC"},{"code":"83013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Pct (Procalcitonin)","code_information":[{"code":"351210","type":"CDM"},{"code":"300","type":"RC"},{"code":"84145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Trays Cut Down Adult","code_information":[{"code":"48007","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Trays Cut Down Adult","code_information":[{"code":"48008","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Trays Rubin Dye","code_information":[{"code":"48020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Trays, Trach, Set","code_information":[{"code":"48027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Trays, Basic Biop. Ped.","code_information":[{"code":"48028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":324,"gross_charge":354,"discounted_cash":266,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":324},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":156}]}]},{"description":"Pad K-thermia 24  X 60","code_information":[{"code":"49081","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":323,"gross_charge":353,"discounted_cash":265,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":323},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Tray Thoracentesis","code_information":[{"code":"50223","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":322,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Support Ankle Aircast Large Right","code_information":[{"code":"50274","type":"CDM"},{"code":"274","type":"RC"},{"code":"L4350","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":322,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Pft-vital Capacity (Fvc)","code_information":[{"code":"60140","type":"CDM"},{"code":"460","type":"RC"},{"code":"94150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":322,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Cast Removal","code_information":[{"code":"65459","type":"CDM"},{"code":"450","type":"RC"},{"code":"29705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":322,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Application Of Long Leg Cast","code_information":[{"code":"69531","type":"CDM"},{"code":"450","type":"RC"},{"code":"29345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":322,"gross_charge":352,"discounted_cash":264,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":322},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":155}]}]},{"description":"Compr Aug 2.7 Drl W/stop","code_information":[{"code":"53181","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53181","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"E-surg Electrode Rad Loop 20mmx15mm","code_information":[{"code":"52068","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"E-surg Electrode Rad Loop 20mmx20mm","code_information":[{"code":"52069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"E-surg Electrode Rad Loop 20mmx10mm","code_information":[{"code":"52070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Antipsychotics W/ Confirm Urinequest","code_information":[{"code":"758598","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Arthro Black Hole Fluid Control Device","code_information":[{"code":"48937","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Bed Overlay Alt.press.air Matress Daily","code_information":[{"code":"49998","type":"CDM"},{"code":"946","type":"RC"},{"code":"CP49998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":73,"maximum":321,"gross_charge":351,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":321},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"11312 Shave Epi/derm Feenlmm 1.1-2.0","code_information":[{"code":"CP17585600566585339","type":"CDM"},{"code":"521","type":"RC"},{"code":"11312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"11982 Remove Drug Implant Device","code_information":[{"code":"CP17585600566594213","type":"CDM"},{"code":"521","type":"RC"},{"code":"11982","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Pcv13-pneumococcal Conjugate Vaccine 13v","code_information":[{"code":"CP17585600566716589","type":"CDM"},{"code":"521","type":"RC"},{"code":"90670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"11312 Shave Epi/derm Feenlmm 1.1-2.0","code_information":[{"code":"CP17585603283839740","type":"CDM"},{"code":"510","type":"RC"},{"code":"11312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"11982 Remove Drug Implant Device","code_information":[{"code":"CP17585603283830595","type":"CDM"},{"code":"510","type":"RC"},{"code":"11982","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Ortho Staple 7/8  X 3/4 (22mm X 19mm)","code_information":[{"code":"50827","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":320,"gross_charge":350,"discounted_cash":263,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":320},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":".Column Chromatography Quant","code_information":[{"code":"758758","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":319,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Hla-b 5701 Typingquest","code_information":[{"code":"758774","type":"CDM"},{"code":"300","type":"RC"},{"code":"81381","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":319,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"20240 Biopsy, Bone Open; Superficial","code_information":[{"code":"CP17585603283837404","type":"CDM"},{"code":"510","type":"RC"},{"code":"20240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":319,"gross_charge":349,"discounted_cash":262,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":319},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":154}]}]},{"description":"Wound Drain Kit 800cc 1/4 Drain W/trocar","code_information":[{"code":"49032","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":318,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Screw Dhs 4.5mm  44mm Self-tapping","code_information":[{"code":"48320","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":318,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Lap Cbde Guidewire Softwire","code_information":[{"code":"50369","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":318,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Tourniquet Cuff 18  Disp Dpsb W/o Sleeve","code_information":[{"code":"50340","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":318,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":"Tourniquet Cuff 18  Disp Single Bladder","code_information":[{"code":"52405","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52405","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":318,"gross_charge":348,"discounted_cash":261,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":318},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":153}]}]},{"description":".Id By Nucleic Acid Sequencing Method","code_information":[{"code":"758768","type":"CDM"},{"code":"300","type":"RC"},{"code":"87153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":72,"maximum":317,"gross_charge":346,"discounted_cash":260,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":317},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Newborn Resuscitation","code_information":[{"code":"CP17585600566682898","type":"CDM"},{"code":"521","type":"RC"},{"code":"99465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 10mm","code_information":[{"code":"52766","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52766","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 11mm","code_information":[{"code":"52767","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52767","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 15mm","code_information":[{"code":"52771","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52771","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 16mm","code_information":[{"code":"52772","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52772","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 20mm","code_information":[{"code":"52774","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 22mm","code_information":[{"code":"52775","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52775","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 24mm","code_information":[{"code":"52776","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52776","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 28mm","code_information":[{"code":"52778","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 30mm","code_information":[{"code":"52779","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":316,"gross_charge":345,"discounted_cash":259,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":316},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":152}]}]},{"description":"Ex.fix. Spring-loaded Nut","code_information":[{"code":"48131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Arthro Knife Hook Single Use","code_information":[{"code":"48928","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Arthro Knife Round Tip Single Use","code_information":[{"code":"50504","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Arthro Knife Sharp Tip Single Use","code_information":[{"code":"50505","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566632696","type":"CDM"},{"code":"521","type":"RC"},{"code":"11421","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283919485","type":"CDM"},{"code":"510","type":"RC"},{"code":"11421","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Hereditary Hemochromatosis Dna Mutatio","code_information":[{"code":"752504","type":"CDM"},{"code":"310","type":"RC"},{"code":"81256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Screw Ti Cann.4.0mm Long Thrd 50mm","code_information":[{"code":"50578","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":315,"gross_charge":344,"discounted_cash":258,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":315},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Biopsy Needle 14g 6","code_information":[{"code":"49660","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":314,"gross_charge":343,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Circumcision, Using Clamp/other Device;","code_information":[{"code":"CP17585600566603962","type":"CDM"},{"code":"521","type":"RC"},{"code":"54150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":314,"gross_charge":343,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Us Echodoppler","code_information":[{"code":"39188","type":"CDM"},{"code":"480","type":"RC"},{"code":"93320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":314,"gross_charge":343,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":314},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":151}]}]},{"description":"Lap Kittner Blunt Dissector 5mm","code_information":[{"code":"49804","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49804","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":313,"gross_charge":342,"discounted_cash":257,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":313},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":308},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":294},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"27370 Inj Proc For Knee Arthrography","code_information":[{"code":"CP17585603283875681","type":"CDM"},{"code":"510","type":"RC"},{"code":"27370","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":312,"gross_charge":341,"discounted_cash":256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"43241 Upper Gi Endosc W/tube Placement","code_information":[{"code":"CP17585603283898467","type":"CDM"},{"code":"510","type":"RC"},{"code":"43241","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":312,"gross_charge":341,"discounted_cash":256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Progesteron Receptor","code_information":[{"code":"17027","type":"CDM"},{"code":"300","type":"RC"},{"code":"84234","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":71,"maximum":312,"gross_charge":341,"discounted_cash":256,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":312},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"11303 Shave Lesion Tal Over 2.0cm","code_information":[{"code":"CP17585600566583027","type":"CDM"},{"code":"521","type":"RC"},{"code":"11303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":311,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"11303 Shave Lesion Tal Over 2.0cm","code_information":[{"code":"CP17585603283832908","type":"CDM"},{"code":"510","type":"RC"},{"code":"11303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":311,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"I & D Thrombosed External Hemorrhoid","code_information":[{"code":"65475","type":"CDM"},{"code":"450","type":"RC"},{"code":"46083","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":311,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Bladder Irrigation","code_information":[{"code":"65479","type":"CDM"},{"code":"450","type":"RC"},{"code":"51700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":311,"gross_charge":340,"discounted_cash":255,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":311},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":150}]}]},{"description":"Inject Therapeutic Carpal Tunnel Bilateral","code_information":[{"code":"CP17585603283946617","type":"CDM"},{"code":"510","type":"RC"},{"code":"20526","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Receptor Assay;estrogen","code_information":[{"code":"17010","type":"CDM"},{"code":"300","type":"RC"},{"code":"84233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Estrogen Receptor(surgery To Order This)","code_information":[{"code":"17020","type":"CDM"},{"code":"300","type":"RC"},{"code":"84233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Amnisure Rom Testcrh","code_information":[{"code":"351155","type":"CDM"},{"code":"300","type":"RC"},{"code":"84112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Des Gamma Carboxy Prothrombin","code_information":[{"code":"758080","type":"CDM"},{"code":"300","type":"RC"},{"code":"83951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Arc Hla Antibody Identification Class I","code_information":[{"code":"751821","type":"CDM"},{"code":"300","type":"RC"},{"code":"86832","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":310,"gross_charge":339,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":310},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Flunisolide(aerobid)inhaler:7 Gm","code_information":[{"code":"300020","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":309,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Knee Immobilizer 24  Universal","code_information":[{"code":"49246","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":309,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Cocaine Metabolite Quantitative Urine","code_information":[{"code":"750985","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":309,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":".Pten (Phosphatase And Tensin Homolog)","code_information":[{"code":"757987","type":"CDM"},{"code":"310","type":"RC"},{"code":"81323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":70,"maximum":309,"gross_charge":338,"discounted_cash":254,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":309},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":149}]}]},{"description":"Ex.fix. Rod 11.0mm X 400mm","code_information":[{"code":"48122","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}]},{"description":"Acyclovir 500mg/10ml Vial","code_information":[{"code":"301982","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323032510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Bupivacaine 0.5% W/epinephrine 50ml","code_information":[{"code":"306382","type":"CDM"},{"code":"250","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Diazepam Inj Syringe 10mg/2ml","code_information":[{"code":"312223","type":"CDM"},{"code":"250","type":"RC"},{"code":"64162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Insulin Glargine Pen 300units/3ml","code_information":[{"code":"308620-90","type":"CDM"},{"code":"637","type":"RC"},{"code":"88221","type":"CPT","modifier":"90"}],"standard_charges":[{"setting":"outpatient","modifier_code":["90"],"minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":300,"type":"UN"}},{"description":"Methylergonovin Amp 0.2mg/ml","code_information":[{"code":"301047","type":"CDM"},{"code":"250","type":"RC"},{"code":"51991014499","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Methylprednisolone Succ Vial 1gm","code_information":[{"code":"302963","type":"CDM"},{"code":"636","type":"RC"},{"code":"14398","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Midazolam Drip Premix 50mg/50ml","code_information":[{"code":"312062","type":"CDM"},{"code":"636","type":"RC"},{"code":"65219065050","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Olanzapine Vial 10mg","code_information":[{"code":"305415","type":"CDM"},{"code":"250","type":"RC"},{"code":"51709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Vancomycin 1250mg/250ml Ns Ivpb Premix","code_information":[{"code":"312851","type":"CDM"},{"code":"250","type":"RC"},{"code":"70594005701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1250,"type":"ME"}},{"description":"Vancomycin Vial 1250mg","code_information":[{"code":"312570","type":"CDM"},{"code":"636","type":"RC"},{"code":"14391","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1250,"type":"ME"}},{"description":"Vitamin K Neonatal  1mg/0.5ml","code_information":[{"code":"304197","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329124001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Zz Meperidine Injection: 50 Mg/ml 30 Ml-","code_information":[{"code":"300479","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tetanus-diphtheria Toxoid Adsorbed: Inj","code_information":[{"code":"302796","type":"CDM"},{"code":"636","type":"RC"},{"code":"90715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Influenza Vaccine 21/22 0.5ml","code_information":[{"code":"303973","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q2036","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Imipenem/cilastatin Inj 250 Mg Vial","code_information":[{"code":"304331","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levofloxacin 750mg/30ml","code_information":[{"code":"304487","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1956","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin Glargine Pen 300units/3ml","code_information":[{"code":"308620","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Influenza Vaccine 22/23 0.5ml","code_information":[{"code":"312230","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q2036","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Influenza Vaccine 23/24 0.5ml","code_information":[{"code":"312463","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q2036","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Influenza Vaccine 24/25 0.5ml","code_information":[{"code":"312758","type":"CDM"},{"code":"636","type":"RC"},{"code":"Q2036","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":336,"discounted_cash":252,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":148}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"27570 Manip Knee Joint Under Gen Anes","code_information":[{"code":"CP17585603283871040","type":"CDM"},{"code":"510","type":"RC"},{"code":"27570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Nasal Bones (<3 Views)","code_information":[{"code":"39117-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"70160","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Saw Blade Oscill. 19.5mm X 86mm X 0.8mm","code_information":[{"code":"48461","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48461","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Saw Blade Recip. Hvy Duty Long","code_information":[{"code":"48478","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Press.monitor Kit Px1x2","code_information":[{"code":"50142","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Maternal Screen (Quad)arup","code_information":[{"code":"758077","type":"CDM"},{"code":"300","type":"RC"},{"code":"81511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Maternal Screen Integrated #2arup","code_information":[{"code":"758085","type":"CDM"},{"code":"300","type":"RC"},{"code":"81511","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 26mm","code_information":[{"code":"50550","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50550","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 28mm","code_information":[{"code":"51018","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51018","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 30mm","code_information":[{"code":"51021","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 24mm","code_information":[{"code":"51038","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 75mm","code_information":[{"code":"51155","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 80mm","code_information":[{"code":"51156","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 60mm","code_information":[{"code":"53078","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Periart.3.5mm W/2.7mm Head X 70mm","code_information":[{"code":"53079","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":307,"gross_charge":335,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":307},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  28mm Self-tapping","code_information":[{"code":"48312","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  30mm Self-tapping","code_information":[{"code":"48313","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48313","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  32mm Self-tapping","code_information":[{"code":"48314","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm 56mm Self-tapping","code_information":[{"code":"48326","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  28mm Self-tapping Zmr","code_information":[{"code":"51225","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  30mm Self-tapping Zmr","code_information":[{"code":"51226","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  32mm Self-tapping Zmr","code_information":[{"code":"51227","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  42mm Self-tapping Zmr","code_information":[{"code":"51232","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  44mm Self-tapping Zmr","code_information":[{"code":"51233","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  46mm Self-tapping Zmr","code_information":[{"code":"51234","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  48mm Self-tapping Zmr","code_information":[{"code":"51235","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51235","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  50mm Self-tapping Zmr","code_information":[{"code":"51236","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  52mm Self-tapping Zmr","code_information":[{"code":"51237","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  54mm Self-tapping Zmr","code_information":[{"code":"51238","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51238","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  56mm Self-tapping Zmr","code_information":[{"code":"51239","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51239","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  58mm Self-tapping Zmr","code_information":[{"code":"51240","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  60mm Self-tapping Zmr","code_information":[{"code":"51241","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"10120 Remove Foreign Body Simple","code_information":[{"code":"CP17585600566571367","type":"CDM"},{"code":"521","type":"RC"},{"code":"10120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"10120 Remove Foreign Body Simple","code_information":[{"code":"CP17585603283829344","type":"CDM"},{"code":"510","type":"RC"},{"code":"10120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":306,"gross_charge":334,"discounted_cash":251,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":306},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Resusc Bag-infant","code_information":[{"code":"60158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  34mm Self-tapping","code_information":[{"code":"48315","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  36mm Self-tapping","code_information":[{"code":"48316","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  38mm Self-tapping","code_information":[{"code":"48317","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  40mm Self-tapping","code_information":[{"code":"48318","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  34mm Self-tapping Zmr","code_information":[{"code":"51228","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  38mm Self-tapping Zmr","code_information":[{"code":"51230","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Screw Dhs 4.5mm  40mm Self-tapping Zmr","code_information":[{"code":"51231","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"K-wire 2.0mm","code_information":[{"code":"51976","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":305,"gross_charge":333,"discounted_cash":250,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":305},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":300},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":147}]}]},{"description":"Ostomy Irrigator W Stoma Cone      A4400","code_information":[{"code":"49709","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49709","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":69,"maximum":304,"gross_charge":332,"discounted_cash":249,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":304},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":299},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Airway Lma #3 Disp Child/sml Adult Supre","code_information":[{"code":"52125","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Airway Lma #4 Disp Avg/large Adult Suprm","code_information":[{"code":"52126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Airway Lma #5 Disp Lrg/x-lrg Adult Suprm","code_information":[{"code":"52127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Tray Foley Cath 16fr 5cc&urinometer","code_information":[{"code":"52176","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Patient office consultation, 60 min","code_information":[{"code":"CP17585603283944905","type":"CDM"},{"code":"521","type":"RC"},{"code":"99244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Cpm Machine Pad","code_information":[{"code":"49996","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Lap Cholangiogram Introducer Ndl","code_information":[{"code":"50247","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50247","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Screw Multi-directional 2.7mm X 16mm","code_information":[{"code":"52801","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"2.5mm Set Screw Hex Driver","code_information":[{"code":"53191","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53191","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":303,"gross_charge":331,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":303},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":146}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585600566603818","type":"CDM"},{"code":"521","type":"RC"},{"code":"17004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":302,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585603283916798","type":"CDM"},{"code":"510","type":"RC"},{"code":"17004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":302,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Ed-probs Are Of Low To Moderate Severity","code_information":[{"code":"65008","type":"CDM"},{"code":"450","type":"RC"},{"code":"99282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":302,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Ed-probs Are Of Low To Moderate Severity","code_information":[{"code":"65908-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99282","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":68,"maximum":302,"gross_charge":330,"discounted_cash":248,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":302},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":297},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Tube Gastrostomy 16 Fr (B4086)","code_information":[{"code":"49091","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":301,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Tube Gastrostomy 20 Fr (B4086)","code_information":[{"code":"49113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":301,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Tube Gastrostomy 22 Fr (B4086)","code_information":[{"code":"49115","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":301,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Tube  Low Profile  Gastrostomy 20 Fr","code_information":[{"code":"53218","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":68,"maximum":301,"gross_charge":329,"discounted_cash":247,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":301},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":145}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585600566635766","type":"CDM"},{"code":"521","type":"RC"},{"code":"11401","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":298,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Excision, Benign Skin Lesion, Except Ski","code_information":[{"code":"CP17585603283912484","type":"CDM"},{"code":"510","type":"RC"},{"code":"11401","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":298,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Drainage Of Retroperitoneal, Open","code_information":[{"code":"69539","type":"CDM"},{"code":"450","type":"RC"},{"code":"49060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":298,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Quantiferon-tb Gold Plus (4 Tubes)qu","code_information":[{"code":"758162","type":"CDM"},{"code":"300","type":"RC"},{"code":"86480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":298,"gross_charge":326,"discounted_cash":245,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":298},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"Abduction Pillow Large","code_information":[{"code":"49945","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":296,"gross_charge":324,"discounted_cash":243,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":143}]}]},{"description":"28490 Treatment Big Toe Fx","code_information":[{"code":"CP17585603283880263","type":"CDM"},{"code":"510","type":"RC"},{"code":"28490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":296,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Cath Word Bartholin Gland","code_information":[{"code":"52133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":296,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Dermatome Cutting Head Disp.","code_information":[{"code":"49483","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49483","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":296,"gross_charge":323,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":296},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":291},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Dolutegravir Tab 50mg","code_information":[{"code":"312856","type":"CDM"},{"code":"637","type":"RC"},{"code":"49702022813","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Bexsero, Hospital Supply","code_information":[{"code":"CP17585600566598859","type":"CDM"},{"code":"521","type":"RC"},{"code":"90620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Office/op Visit, Est Pt, 3 Key Component","code_information":[{"code":"CP17585600566689515","type":"CDM"},{"code":"521","type":"RC"},{"code":"99215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Office/op Visit, Est Pt, 3 Key Component","code_information":[{"code":"CP17585603283940160","type":"CDM"},{"code":"510","type":"RC"},{"code":"99215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Holter Monitor 24 Hr","code_information":[{"code":"36012","type":"CDM"},{"code":"731","type":"RC"},{"code":"93225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Sacrum Coccyx (1 View)","code_information":[{"code":"39054-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"72220","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Sinuses (<3 Views)","code_information":[{"code":"39145","type":"CDM"},{"code":"320","type":"RC"},{"code":"70210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Cervical Spine (1 View)","code_information":[{"code":"39170-52","type":"CDM"},{"code":"320","type":"RC"},{"code":"72040","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Elbow-r (1 View)","code_information":[{"code":"39193-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Elbow-l (1 View)","code_information":[{"code":"39194-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73070","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Forearm-r (1 View)","code_information":[{"code":"39195-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Forearm-l (1 View)","code_information":[{"code":"39196-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73090","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Wrist-r (1 View)","code_information":[{"code":"39197-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Wrist-l (1 View)","code_information":[{"code":"39198-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73100","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Femur-r (1 View)","code_information":[{"code":"39294-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73551","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Femur-l (1 View)","code_information":[{"code":"39295-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73551","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Lower Leg-r (1 View)","code_information":[{"code":"39297-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Lower Leg-l (1 View)","code_information":[{"code":"39298-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73590","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Ankle-r (1 View)","code_information":[{"code":"39351-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Ankle-l (1 View)","code_information":[{"code":"39352-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73600","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Foot-r (1 View)","code_information":[{"code":"39353-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Foot-l (1 View)","code_information":[{"code":"39354-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73620","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Heel-r (1 View)","code_information":[{"code":"39355-RT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Heel-l (1 View)","code_information":[{"code":"39356-LT","type":"CDM"},{"code":"320","type":"RC"},{"code":"73650","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"39378-RT","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Mammography, screening, bilateral","code_information":[{"code":"39379-LT","type":"CDM"},{"code":"401","type":"RC"},{"code":"77067","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Fluoro Guide Vas Access","code_information":[{"code":"39583","type":"CDM"},{"code":"320","type":"RC"},{"code":"77001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Stylet 1.6mm","code_information":[{"code":"52630","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52630","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"1.6mm Perc Drill Tip Guide Wire Sing","code_information":[{"code":"52643","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Pt Evaluation, Low Complexity","code_information":[{"code":"55560-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97161","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":".F5 (Coag Factor V)","code_information":[{"code":"751909","type":"CDM"},{"code":"310","type":"RC"},{"code":"81241","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Factor V (Leiden) Mutation Analysisqu","code_information":[{"code":"752503","type":"CDM"},{"code":"310","type":"RC"},{"code":"81241","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":".Islet Cell Antibody","code_information":[{"code":"758177","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Add On Second Level Rt","code_information":[{"code":"850026-RT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64494","type":"CPT","modifier":"RT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["RT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Add On Second Level Lt","code_information":[{"code":"850027-LT","type":"CDM"},{"code":"360","type":"RC"},{"code":"64494","type":"CPT","modifier":"LT"}],"standard_charges":[{"setting":"outpatient","modifier_code":["LT"],"minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Saw Blade Oscill. 13.5mm X 64mm X 0.6mm","code_information":[{"code":"48459","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"E-surg Disp. Active Cord Gyn.","code_information":[{"code":"49958","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Screw Ti Shaft 4.5mm 42mm","code_information":[{"code":"50866","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50866","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Screw Ti Shaft 4.5mm 44mm","code_information":[{"code":"50867","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50867","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Screw Ti Shaft 4.5mm 46mm","code_information":[{"code":"50868","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50868","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Screw Ti Shaft 4.5mm 48mm","code_information":[{"code":"50869","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50869","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Screw Ti Shaft 4.5mm 50mm","code_information":[{"code":"50870","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50870","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Osc Flat X Hub 80/100mm X13mm X0.89mm","code_information":[{"code":"52497","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52497","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Osc Gts X Hub 90/110mm X 19/25mm X1.27mm","code_information":[{"code":"52498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Osc Gts X Hub 80/100mm X 25mm X 1.27mm","code_information":[{"code":"52499","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":67,"maximum":295,"gross_charge":322,"discounted_cash":242,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":295},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":290},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":142}]}]},{"description":"Mesh Ventral3x6 Non-absorable","code_information":[{"code":"52983","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":293,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":141}]}]},{"description":"Eptifibatide  Bolus Vial 20mg/10ml","code_information":[{"code":"303773","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457062910","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":66,"maximum":293,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":141}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Fat Emulsion 20% Premix 250ml","code_information":[{"code":"304230","type":"CDM"},{"code":"250","type":"RC"},{"code":"65219053301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":66,"maximum":293,"gross_charge":320,"discounted_cash":240,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":293},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":141}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Co2 Airway Adapter 4.0mm & Lower","code_information":[{"code":"52234","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":66,"maximum":292,"gross_charge":319,"discounted_cash":239,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":292},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":140}]}]},{"description":".Hcv Genotype Lipa","code_information":[{"code":"750579","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":289,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Sars Cov-2/flu/rsv Rt-pcr","code_information":[{"code":"CP17585600566711048","type":"CDM"},{"code":"300","type":"RC"},{"code":"87637","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":289,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Respiratory Virus Panel Pcr","code_information":[{"code":"351194","type":"CDM"},{"code":"300","type":"RC"},{"code":"87637","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":289,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":".Covid Xpert Xpress","code_information":[{"code":"758358","type":"CDM"},{"code":"300","type":"RC"},{"code":"87637","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":289,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Neo/poly/hc Otic Susp. 10ml","code_information":[{"code":"300411","type":"CDM"},{"code":"637","type":"RC"},{"code":"24208063562","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":65,"maximum":289,"gross_charge":316,"discounted_cash":237,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":289},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Tray Continuous Epidural","code_information":[{"code":"49375","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":288,"gross_charge":315,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":288},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":139}]}]},{"description":"Mmrv","code_information":[{"code":"CP17585600566684594","type":"CDM"},{"code":"521","type":"RC"},{"code":"90710","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":287,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585600566719585","type":"CDM"},{"code":"521","type":"RC"},{"code":"11307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":287,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585603283952524","type":"CDM"},{"code":"510","type":"RC"},{"code":"11307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":287,"gross_charge":314,"discounted_cash":236,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":287},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Wound Drain Kit 500cc Reservoir Only","code_information":[{"code":"50206","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":286,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Hand Sanitizer Instant Foam","code_information":[{"code":"502207","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP502207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":286,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"Rest Home Visit, New Pt 3 Key Components","code_information":[{"code":"CP17585600566717601","type":"CDM"},{"code":"522","type":"RC"},{"code":"99326","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":286,"gross_charge":313,"discounted_cash":235,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":286},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":138}]}]},{"description":"10022 Fine Needle Aspiration W Imag Guid","code_information":[{"code":"CP17585600566573612","type":"CDM"},{"code":"521","type":"RC"},{"code":"10022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":285,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":137}]}]},{"description":"10022 Fine Needle Aspiration W Imag Guid","code_information":[{"code":"CP17585603283820274","type":"CDM"},{"code":"510","type":"RC"},{"code":"10022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":285,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":137}]}]},{"description":"29355 App Longleg Cast,ambulatory Type","code_information":[{"code":"CP17585603283882538","type":"CDM"},{"code":"510","type":"RC"},{"code":"29355","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":65,"maximum":285,"gross_charge":312,"discounted_cash":234,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":285},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":137}]}]},{"description":"Us Ob Add Gestation > 14 Wks","code_information":[{"code":"39592","type":"CDM"},{"code":"402","type":"RC"},{"code":"76810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":284,"gross_charge":310,"discounted_cash":233,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":284},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Opiates,1 Or More","code_information":[{"code":"758044","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Oxycodone","code_information":[{"code":"758045","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Skeletal Muscle Relaxants; 1 Or 2","code_information":[{"code":"758046","type":"CDM"},{"code":"300","type":"RC"},{"code":"80369","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Tramadol","code_information":[{"code":"758047","type":"CDM"},{"code":"300","type":"RC"},{"code":"80373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Ex.fix. Rod 11.0mm X 250mm","code_information":[{"code":"48119","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Ex.fix. Rod 11.0mm X 300mm","code_information":[{"code":"48120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Ep Visit Moderate 31-45 Min","code_information":[{"code":"69013","type":"CDM"},{"code":"761","type":"RC"},{"code":"99213","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":283,"gross_charge":309,"discounted_cash":232,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":283},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Initial Hosp Care 3 Key Components: Comp","code_information":[{"code":"CP17585600566675541","type":"CDM"},{"code":"521","type":"RC"},{"code":"99222","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Shaving Skin Lesion, Trunk/arms/legs; Di","code_information":[{"code":"CP17585600566710640","type":"CDM"},{"code":"521","type":"RC"},{"code":"11302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Destruction Of Face Skin, External Approach","code_information":[{"code":"CP17585603283916792","type":"CDM"},{"code":"510","type":"RC"},{"code":"17280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Initial Hosp Care 3 Key Components: Comp","code_information":[{"code":"CP17585603283940114","type":"CDM"},{"code":"510","type":"RC"},{"code":"99222","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Shaving Skin Lesion, Trunk/arms/legs; Di","code_information":[{"code":"CP17585603283954833","type":"CDM"},{"code":"510","type":"RC"},{"code":"11302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":".Skin Or Other Solid Tissue Biopsy","code_information":[{"code":"750920","type":"CDM"},{"code":"310","type":"RC"},{"code":"88233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":64,"maximum":282,"gross_charge":308,"discounted_cash":231,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":282},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":136}]}]},{"description":"Ulipristal Acetate Tab 30mg","code_information":[{"code":"307644","type":"CDM"},{"code":"637","type":"RC"},{"code":"73302045601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":63,"maximum":281,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":135}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Oxygen Inpt/obsv (Daily)","code_information":[{"code":"60001","type":"CDM"},{"code":"271","type":"RC"},{"code":"CP60001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":281,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Observation (First Hour)ed","code_information":[{"code":"65220","type":"CDM"},{"code":"762","type":"RC"},{"code":"CP65220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":281,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Observation (First Hour)ipcu","code_information":[{"code":"400300","type":"CDM"},{"code":"762","type":"RC"},{"code":"CP400300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":281,"gross_charge":307,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":281},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Arthro Leg Holder Pad Single Use","code_information":[{"code":"48932","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48932","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":280,"gross_charge":306,"discounted_cash":230,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":280},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":135}]}]},{"description":"Initial Obsv Care, 3 Key Components:comp","code_information":[{"code":"CP17585600566674369","type":"CDM"},{"code":"521","type":"RC"},{"code":"99219","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":279,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Initial Obsv Care, 3 Key Components:comp","code_information":[{"code":"CP17585603283948447","type":"CDM"},{"code":"510","type":"RC"},{"code":"99219","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":279,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Electrosurgical Patient Plate Split","code_information":[{"code":"53155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":279,"gross_charge":305,"discounted_cash":229,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":279},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585600566720747","type":"CDM"},{"code":"521","type":"RC"},{"code":"99310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585603283958779","type":"CDM"},{"code":"510","type":"RC"},{"code":"99310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Guide Pin  3.2mm X 12 Inch Partial Thd","code_information":[{"code":"53104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"K-wire 2.0mm","code_information":[{"code":"53106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Screw Comp, 4.7mm Dia X 1.5 In","code_information":[{"code":"52282","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52282","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Screw Comp, 4.7mm Dia X 2.0 In","code_information":[{"code":"52283","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52283","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Screw Comp, 4.7mm Dia X 1.0 In","code_information":[{"code":"52305","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X45mm","code_information":[{"code":"50497","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50497","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X40mm","code_information":[{"code":"50498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X35mm","code_information":[{"code":"50511","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50511","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X35mm","code_information":[{"code":"51897","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Ttl Knee Bone Screw Self-tap 6.5mm X25mm","code_information":[{"code":"51929","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP51929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":278,"gross_charge":304,"discounted_cash":228,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":278},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":134}]}]},{"description":"Bilateral Large Joint Injection With Ultrasound Guidance","code_information":[{"code":"CP17585603283909894-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20611","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":63,"maximum":277,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Resusc Bag-pediatric","code_information":[{"code":"60134","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":277,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Rest Home Visit, Est Pt 2+ Key Component","code_information":[{"code":"CP17585600566710645","type":"CDM"},{"code":"522","type":"RC"},{"code":"99336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":277,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":".Nllag Typing, Each Unit Sent, 5 Ags","code_information":[{"code":"750939","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":63,"maximum":277,"gross_charge":303,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":277},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":273},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Fix.cas Pin 3.2mm X 150mm","code_information":[{"code":"53073","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":276,"gross_charge":302,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Fix.fluted Pin 3.2mm X 80mm","code_information":[{"code":"53074","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":276,"gross_charge":302,"discounted_cash":227,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":276},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":133}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:det","code_information":[{"code":"CP17585600566688343","type":"CDM"},{"code":"521","type":"RC"},{"code":"99234","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Application Of Long Leg Cast","code_information":[{"code":"CP17585603283903033","type":"CDM"},{"code":"510","type":"RC"},{"code":"29345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Injection, Anesthetic Agent; Paracervica","code_information":[{"code":"CP17585603283940631","type":"CDM"},{"code":"510","type":"RC"},{"code":"64435","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Obsv/inpt Hosp Care 3 Key Components:det","code_information":[{"code":"CP17585603283946774","type":"CDM"},{"code":"510","type":"RC"},{"code":"99234","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Application Of Long Arm Splint Bilat","code_information":[{"code":"65920-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29105","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Application Of Long Leg Splint Bilat","code_information":[{"code":"65924-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29505","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Application Of Short Leg Splint Bilat","code_information":[{"code":"65925-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29515","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Strapping Of Ankle/foot Bilateral","code_information":[{"code":"65927-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29540","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Unna Boot App Bilateral","code_information":[{"code":"65928-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29580","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Stein.pin Thrdd 3.2mm(1/8 ) X229mm(9 )","code_information":[{"code":"48483","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48483","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":301,"discounted_cash":226,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Initial Psychiatric Diagnostic Eval (No Medical Serv)","code_information":[{"code":"CP17585600566674346","type":"CDM"},{"code":"521","type":"RC"},{"code":"90791","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"St Modified Barium Swallow Evaluation","code_information":[{"code":"55444-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"92611","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Cath Foley Silicone Coude Tip 5cc 14fr","code_information":[{"code":"52036","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52036","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Cath Foley Silicone Coude Tip 5cc 16fr","code_information":[{"code":"52037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Cath Foley Silicone Coude Tip 5cc 18fr","code_information":[{"code":"52038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Purewick Female","code_information":[{"code":"52496","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52496","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Purewick Male","code_information":[{"code":"53035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":275,"gross_charge":300,"discounted_cash":225,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":275},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Ortho Knee Nozzle Flat","code_information":[{"code":"52509","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  85mm","code_information":[{"code":"48821","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  90mm","code_information":[{"code":"48822","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  95mm","code_information":[{"code":"48823","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd 100mm","code_information":[{"code":"48824","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd 105mm","code_information":[{"code":"48825","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd 110mm","code_information":[{"code":"48826","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  90mm","code_information":[{"code":"48839","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  95mm","code_information":[{"code":"48840","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd 100mm","code_information":[{"code":"48841","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd 110mm","code_information":[{"code":"48842","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":62,"maximum":274,"gross_charge":299,"discounted_cash":224,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":274},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":132}]}]},{"description":"Knee Immobilizer 20  Universal","code_information":[{"code":"49222","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":272,"gross_charge":297,"discounted_cash":223,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":272},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":131}]}]},{"description":"Peak Flow Normal Range","code_information":[{"code":"60059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Hiv-1 Rna Pcr Quan 1st Gen   Quest","code_information":[{"code":"750099","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Hiv-1 Rna Quant/pcr Ultrasensitive Quest","code_information":[{"code":"751428","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Hiv-1 Rna Qnt Pcr Quest","code_information":[{"code":"751522","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":".Influenza Virus, For Multiple Types Fir","code_information":[{"code":"751955","type":"CDM"},{"code":"300","type":"RC"},{"code":"87502","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Immunohistochem 2 Absame Slide Dcpa","code_information":[{"code":"757255","type":"CDM"},{"code":"312","type":"RC"},{"code":"88344","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":".Hiv-1 Quantification Includes Reverse T","code_information":[{"code":"758553","type":"CDM"},{"code":"300","type":"RC"},{"code":"87536","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Dengue Virus Ns1 Antigenquest","code_information":[{"code":"758871","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":271,"gross_charge":296,"discounted_cash":222,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":271},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Excision, Other Benign Lesion Including","code_information":[{"code":"CP17585600566638391","type":"CDM"},{"code":"521","type":"RC"},{"code":"11440","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":270,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"12014 Simple Rpr Feenlm 5.1-7.5 Cm","code_information":[{"code":"CP17585603283834353","type":"CDM"},{"code":"510","type":"RC"},{"code":"12014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":270,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"Excision, Other Benign Lesion Including","code_information":[{"code":"CP17585603283915002","type":"CDM"},{"code":"510","type":"RC"},{"code":"11440","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":270,"gross_charge":295,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":270},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":130}]}]},{"description":"E-surg Electrode Rad Loop 15mmx15mm","code_information":[{"code":"50087","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50087","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":269,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Cetacaine Spray  5gm Bottle","code_information":[{"code":"309795","type":"CDM"},{"code":"250","type":"RC"},{"code":"10223020104","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":61,"maximum":269,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cpap Circuit","code_information":[{"code":"60119","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":269,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Us Echocolorflow","code_information":[{"code":"39189","type":"CDM"},{"code":"480","type":"RC"},{"code":"93325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":269,"gross_charge":294,"discounted_cash":221,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":269},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Pelvic Traction Belt 20 -42","code_information":[{"code":"49543","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":61,"maximum":268,"gross_charge":293,"discounted_cash":220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}]},{"description":"Prednisolone 1% Opth Soln. 10ml","code_information":[{"code":"309004","type":"CDM"},{"code":"637","type":"RC"},{"code":"24208071510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":61,"maximum":268,"gross_charge":293,"discounted_cash":220,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":268},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":129}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Initial Preventive Medicine E&m W/ Compr","code_information":[{"code":"CP17585600566678611","type":"CDM"},{"code":"521","type":"RC"},{"code":"99387","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":267,"gross_charge":292,"discounted_cash":219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Nursing Facility Care, 3 Key Components:","code_information":[{"code":"CP17585600566682922","type":"CDM"},{"code":"521","type":"RC"},{"code":"99305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":267,"gross_charge":292,"discounted_cash":219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Trays Umbilical Vessel","code_information":[{"code":"48026","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":267,"gross_charge":292,"discounted_cash":219,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":267},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Punch Bx Skin Single Lesion","code_information":[{"code":"CP17585600566717662","type":"CDM"},{"code":"521","type":"RC"},{"code":"11104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Punch Bx Skin Single Lesion","code_information":[{"code":"CP17585603283942475","type":"CDM"},{"code":"510","type":"RC"},{"code":"11104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Clavicular Fx W/o Manipulation","code_information":[{"code":"65332","type":"CDM"},{"code":"450","type":"RC"},{"code":"23500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Shlder Dis W/ Manipulation","code_information":[{"code":"65333","type":"CDM"},{"code":"450","type":"RC"},{"code":"23650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Tx Of Closed Elbox Dis W/o Anes","code_information":[{"code":"65334","type":"CDM"},{"code":"450","type":"RC"},{"code":"24600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Rad Hd Sublux Child W/ Manip","code_information":[{"code":"65335","type":"CDM"},{"code":"450","type":"RC"},{"code":"24640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Distal Rad/uln Fx W/o Manip","code_information":[{"code":"65336","type":"CDM"},{"code":"450","type":"RC"},{"code":"25600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Single Metacarpal Fx W/o Manip","code_information":[{"code":"65338","type":"CDM"},{"code":"450","type":"RC"},{"code":"26600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Single Metacarpal Fx W/ Manip","code_information":[{"code":"65339","type":"CDM"},{"code":"450","type":"RC"},{"code":"26605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Phalangeal Fx W/o Manip","code_information":[{"code":"65340","type":"CDM"},{"code":"450","type":"RC"},{"code":"26720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Distal Phalangeal Fx W/o Manip","code_information":[{"code":"65341","type":"CDM"},{"code":"450","type":"RC"},{"code":"26750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Intrphlngl Jnt Dis W/o Manip","code_information":[{"code":"65342","type":"CDM"},{"code":"450","type":"RC"},{"code":"26770","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Post Hip Dis W/o Anes","code_information":[{"code":"65343","type":"CDM"},{"code":"450","type":"RC"},{"code":"27265","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Patellar Dis W/o Anes","code_information":[{"code":"65344","type":"CDM"},{"code":"450","type":"RC"},{"code":"27560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Distal Fib Fx W/o Manip","code_information":[{"code":"65345","type":"CDM"},{"code":"450","type":"RC"},{"code":"27786","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Metatarsal Fx W/o Manip","code_information":[{"code":"65347","type":"CDM"},{"code":"450","type":"RC"},{"code":"28470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Fx Great Toe","code_information":[{"code":"65348","type":"CDM"},{"code":"450","type":"RC"},{"code":"28490","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Phalanx/phalanges W/o Manip","code_information":[{"code":"65349","type":"CDM"},{"code":"450","type":"RC"},{"code":"28510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Intrphlngl Jnt Dis W/o Anes","code_information":[{"code":"65350","type":"CDM"},{"code":"450","type":"RC"},{"code":"28660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Tmj Dislocation","code_information":[{"code":"65443","type":"CDM"},{"code":"450","type":"RC"},{"code":"21480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Wrist Dislocation","code_information":[{"code":"65445","type":"CDM"},{"code":"450","type":"RC"},{"code":"25675","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Thumb Dislocation","code_information":[{"code":"65446","type":"CDM"},{"code":"450","type":"RC"},{"code":"26641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Reduction Traumatic Dislocation Hip","code_information":[{"code":"65447","type":"CDM"},{"code":"450","type":"RC"},{"code":"27250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Reduction Nontraumatic/pathologic Hip","code_information":[{"code":"65448","type":"CDM"},{"code":"450","type":"RC"},{"code":"27256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Reduction Of Knee","code_information":[{"code":"65449","type":"CDM"},{"code":"450","type":"RC"},{"code":"27550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Reduction Ankle","code_information":[{"code":"65450","type":"CDM"},{"code":"450","type":"RC"},{"code":"27808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Reduction Toes","code_information":[{"code":"65451","type":"CDM"},{"code":"450","type":"RC"},{"code":"28630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Mcp Dis W/manip W/o Anes","code_information":[{"code":"65533","type":"CDM"},{"code":"450","type":"RC"},{"code":"26700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Phalangeal Fx W/ Manip","code_information":[{"code":"65534","type":"CDM"},{"code":"450","type":"RC"},{"code":"26725","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Distal Phalangeal Fx W/ Manip","code_information":[{"code":"65535","type":"CDM"},{"code":"450","type":"RC"},{"code":"26755","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Phalanx/phalanges W/ Manip","code_information":[{"code":"65536","type":"CDM"},{"code":"450","type":"RC"},{"code":"28515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Fx Fibula Distal W/manip","code_information":[{"code":"65540","type":"CDM"},{"code":"450","type":"RC"},{"code":"27788","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Tibial Fx W/o Manip","code_information":[{"code":"65542","type":"CDM"},{"code":"450","type":"RC"},{"code":"27530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Med Mal Fx W/o Manip","code_information":[{"code":"65543","type":"CDM"},{"code":"450","type":"RC"},{"code":"27760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Disloc Ankle Treatment","code_information":[{"code":"65544","type":"CDM"},{"code":"450","type":"RC"},{"code":"27840","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Talus Fx W/o Manip","code_information":[{"code":"65547","type":"CDM"},{"code":"450","type":"RC"},{"code":"28430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Tibial Fx W/o Manip","code_information":[{"code":"65548","type":"CDM"},{"code":"450","type":"RC"},{"code":"27750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Prox Hum Fx W/o Manip","code_information":[{"code":"65549","type":"CDM"},{"code":"450","type":"RC"},{"code":"23600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Sup/tra Hum Fx W/o Manip","code_information":[{"code":"65550","type":"CDM"},{"code":"450","type":"RC"},{"code":"24530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Ulnar/proximal","code_information":[{"code":"65551","type":"CDM"},{"code":"450","type":"RC"},{"code":"24670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Calcaneal Fx W/o Man","code_information":[{"code":"65553","type":"CDM"},{"code":"450","type":"RC"},{"code":"28400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Carpal Bone Fx W/o Manip","code_information":[{"code":"65555","type":"CDM"},{"code":"450","type":"RC"},{"code":"25630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Rad Head/neck Fx W/o Manip","code_information":[{"code":"65556","type":"CDM"},{"code":"450","type":"RC"},{"code":"24650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Humeral Fx","code_information":[{"code":"65559","type":"CDM"},{"code":"450","type":"RC"},{"code":"23620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Of Humeral Fx W/o Manip","code_information":[{"code":"65560","type":"CDM"},{"code":"450","type":"RC"},{"code":"24500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Radial Fx W/o Manip","code_information":[{"code":"65563","type":"CDM"},{"code":"450","type":"RC"},{"code":"25500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Tx Humeral Fx W/o Manip","code_information":[{"code":"65914","type":"CDM"},{"code":"450","type":"RC"},{"code":"24576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Trmt Of Tarsal Bone Fx Wo Manip Ea","code_information":[{"code":"65916","type":"CDM"},{"code":"450","type":"RC"},{"code":"28450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Humeral Epicond Fx Wo Manip","code_information":[{"code":"65917","type":"CDM"},{"code":"450","type":"RC"},{"code":"24560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Of Prox Fib/shaft Fx Wo Manip","code_information":[{"code":"65942","type":"CDM"},{"code":"450","type":"RC"},{"code":"27780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Carpal Scaphoid Fx; Wo Manip","code_information":[{"code":"65945","type":"CDM"},{"code":"450","type":"RC"},{"code":"25622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Trmt Of Ulnar Styloid Fx","code_information":[{"code":"65998","type":"CDM"},{"code":"450","type":"RC"},{"code":"25650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Closed Trmt Of Posterior Malleolus Fx","code_information":[{"code":"65999","type":"CDM"},{"code":"450","type":"RC"},{"code":"27767","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Trimalleolar Ankle Fx, Wo Man","code_information":[{"code":"69525","type":"CDM"},{"code":"450","type":"RC"},{"code":"27816","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Ulnar Styloid Fx","code_information":[{"code":"69526","type":"CDM"},{"code":"450","type":"RC"},{"code":"25650","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Clsd Trmt Of Posterior Malleolus Fx","code_information":[{"code":"69527","type":"CDM"},{"code":"450","type":"RC"},{"code":"27767","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":266,"gross_charge":291,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":266},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Salicylate","code_information":[{"code":"351121","type":"CDM"},{"code":"300","type":"RC"},{"code":"80329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":".Pain Mgt Methadone Quant (Urine)","code_information":[{"code":"757162","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Heroin Metab Qnt (Urine)quest","code_information":[{"code":"758211","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Anesthesia Block","code_information":[{"code":"13380003","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Anesthesia Epidural","code_information":[{"code":"13380004","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Anesthesia Spinal","code_information":[{"code":"13380006","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":265,"gross_charge":290,"discounted_cash":218,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":265},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":128}]}]},{"description":"Saw Blade Sagittal 9.5mm X 41.0mm X .4mm","code_information":[{"code":"48464","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48464","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Retainer Viscera Small","code_information":[{"code":"49838","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Destruction, Lesion(s), Vulva; Simple, A","code_information":[{"code":"CP17585600566602474","type":"CDM"},{"code":"521","type":"RC"},{"code":"56501","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Home Visit Est Pt 2+ Key Components:deta","code_information":[{"code":"CP17585600566639433","type":"CDM"},{"code":"522","type":"RC"},{"code":"99349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Home Visit Est Pt 2+ Key Components:deta","code_information":[{"code":"CP17585603283921734","type":"CDM"},{"code":"510","type":"RC"},{"code":"99349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Microscopic-biopsy; Level Ivdcpa","code_information":[{"code":"17007","type":"CDM"},{"code":"310","type":"RC"},{"code":"88305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Hepatitis C Virus Rna Genotypequest","code_information":[{"code":"750117","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":".Hcv Genotype Lipa","code_information":[{"code":"750733","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Hep C Viral Rna, Genotypequest","code_information":[{"code":"751576","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":".Genotype, Dna, Hiv Reverse T","code_information":[{"code":"757213","type":"CDM"},{"code":"300","type":"RC"},{"code":"87901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Hepatitis C Viral Rna Genotype 1 Ns5a","code_information":[{"code":"758064","type":"CDM"},{"code":"300","type":"RC"},{"code":"87902","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":289,"discounted_cash":217,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":260},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Strep Pneumoniae Igg (23 Serotypes)","code_information":[{"code":"758074","type":"CDM"},{"code":"300","type":"RC"},{"code":"86581","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":60,"maximum":264,"gross_charge":288,"discounted_cash":216,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":264},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":127}]}]},{"description":"Saw Blade Sagittal 5.5mm X 25.5mm X .4mm","code_information":[{"code":"48462","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48462","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"10160 Puncture Drainage Lesion","code_information":[{"code":"CP17585600566573000","type":"CDM"},{"code":"521","type":"RC"},{"code":"10160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Destruction, Any Method, Flat Warts, Mol","code_information":[{"code":"CP17585600566602946","type":"CDM"},{"code":"521","type":"RC"},{"code":"17111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"10160 Puncture Drainage Lesion","code_information":[{"code":"CP17585603283822320","type":"CDM"},{"code":"510","type":"RC"},{"code":"10160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Destruction, Any Method, Flat Warts, Mol","code_information":[{"code":"CP17585603283917632","type":"CDM"},{"code":"510","type":"RC"},{"code":"17111","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Pt Orthotic Mgt & Training, Subsq 15 Min","code_information":[{"code":"55429","type":"CDM"},{"code":"424","type":"RC"},{"code":"97763","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Cell Cycle Or Dna Analysis Flow Celltech","code_information":[{"code":"750547","type":"CDM"},{"code":"311","type":"RC"},{"code":"88182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Ex.fix. Rod 11.0mm X 100mm","code_information":[{"code":"48116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Ex.fix. Rod 11.0mm X 150mm","code_information":[{"code":"48117","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Ex.fix. Rod 11.0mm X 200mm","code_information":[{"code":"48118","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Guide Pin Cann.screw 1.7mm","code_information":[{"code":"48573","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48573","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Guide Pin Cann.screw 2.5mm","code_information":[{"code":"48599","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":263,"gross_charge":287,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":263},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Irrig P'vac Femoral Brush Tip","code_information":[{"code":"48948","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":262,"gross_charge":286,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Ortho Ti Washer 13.0mm","code_information":[{"code":"50910","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":262,"gross_charge":286,"discounted_cash":215,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":262},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":126}]}]},{"description":"Splint Wrist Lacer Left Large","code_information":[{"code":"49118","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":261,"gross_charge":285,"discounted_cash":214,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":261},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"Phil Cerv Collar Lrg Regular","code_information":[{"code":"49922","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":59,"maximum":259,"gross_charge":283,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":259},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":255},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":125}]}]},{"description":"12004 Simple Rpr Lac 7.6-12.5 Snagte","code_information":[{"code":"CP17585600566597644","type":"CDM"},{"code":"521","type":"RC"},{"code":"12004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":258,"gross_charge":282,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"12004 Simple Rpr Lac 7.6-12.5 Snagte","code_information":[{"code":"CP17585603283839255","type":"CDM"},{"code":"510","type":"RC"},{"code":"12004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":258,"gross_charge":282,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Excision Of Right Axillary Lymphatic, Percutaneous Approach","code_information":[{"code":"CP17585603283912483","type":"CDM"},{"code":"510","type":"RC"},{"code":"38505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":258,"gross_charge":282,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":".Ffp Product Charge (Ffp 8-24 Hrs)","code_information":[{"code":"22019","type":"CDM"},{"code":"390","type":"RC"},{"code":"P9059","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":258,"gross_charge":282,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Atropine Sulf Opth 1% 5ml","code_information":[{"code":"306145","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP306145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":258,"gross_charge":282,"discounted_cash":212,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":258},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Albuterol Inh. Neb Soln. 100mg/20ml","code_information":[{"code":"303461","type":"CDM"},{"code":"636","type":"RC"},{"code":"50383074120","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Screw Ti Cort.4.5mm 42mm","code_information":[{"code":"50844","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50844","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 44mm","code_information":[{"code":"50845","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 46mm","code_information":[{"code":"50846","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 48mm","code_information":[{"code":"50847","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 50mm","code_information":[{"code":"50848","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 52mm","code_information":[{"code":"50849","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50849","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 54mm","code_information":[{"code":"50850","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50850","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 56mm","code_information":[{"code":"50851","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 58mm","code_information":[{"code":"50852","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50852","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 60mm","code_information":[{"code":"50853","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50853","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 62mm","code_information":[{"code":"50854","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50854","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 64mm","code_information":[{"code":"50855","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50855","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 66mm","code_information":[{"code":"50856","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50856","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 68mm","code_information":[{"code":"50857","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50857","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 70mm","code_information":[{"code":"50858","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Screw Ti Cort.4.5mm 68mm","code_information":[{"code":"501858","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP501858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":257,"gross_charge":281,"discounted_cash":211,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":257},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":124}]}]},{"description":"Co2 Detector Adult Easy Cap Ii","code_information":[{"code":"60180","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":58,"maximum":256,"gross_charge":280,"discounted_cash":210,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":256},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":123}]}]},{"description":".Alpha-1-antitrypsin Phenotype","code_information":[{"code":"758759","type":"CDM"},{"code":"300","type":"RC"},{"code":"82104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":254,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":".Jak2 (Janus Kinase 2) Targeted Sequence","code_information":[{"code":"758799","type":"CDM"},{"code":"300","type":"RC"},{"code":"81270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":254,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Screw Chs Compressing 19.0mm","code_information":[{"code":"48331","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":254,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Screw Chs Compressing 28.5mm","code_information":[{"code":"48332","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":254,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Resusc Bag-adult","code_information":[{"code":"60133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":254,"gross_charge":278,"discounted_cash":209,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":254},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Electrosurg Handswitch Pencil W/smoke Ev","code_information":[{"code":"50047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Electrocautery Pencil Edge Smoke Evac","code_information":[{"code":"53132","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Morphometric Analysis In Situ Manual","code_information":[{"code":"751666","type":"CDM"},{"code":"310","type":"RC"},{"code":"88368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":".Fmr1 (Fragile X Mental Retardation)","code_information":[{"code":"751876","type":"CDM"},{"code":"310","type":"RC"},{"code":"81243","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":277,"discounted_cash":208,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":122}]}]},{"description":"Pelvic Traction Belt Md/lg 24 -50","code_information":[{"code":"49544","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49544","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Obs Vacuum Delivery Kit","code_information":[{"code":"49796","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49796","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Orthosis Afo Addtn Dorsiflexn Assist","code_information":[{"code":"51061","type":"CDM"},{"code":"274","type":"RC"},{"code":"L2210","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":".Arc Hla Antibody Screen","code_information":[{"code":"751817","type":"CDM"},{"code":"302","type":"RC"},{"code":"86828","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Amniocentesis, Any Method","code_information":[{"code":"CP17585600566593813","type":"CDM"},{"code":"521","type":"RC"},{"code":"59000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Critical Care, Evaluation & Management,","code_information":[{"code":"CP17585600566601927","type":"CDM"},{"code":"521","type":"RC"},{"code":"99292","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"28510 Closed-phalanx Fract Wo/manip Ea","code_information":[{"code":"CP17585603283886926","type":"CDM"},{"code":"510","type":"RC"},{"code":"28510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 25mm","code_information":[{"code":"48800","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48800","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 30mm","code_information":[{"code":"48801","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 35mm","code_information":[{"code":"48802","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 40mm","code_information":[{"code":"48803","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48803","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 55mm","code_information":[{"code":"48806","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48806","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 60mm","code_information":[{"code":"48807","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48807","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 65mm","code_information":[{"code":"48808","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48808","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Screw Mall.4.5mm 70mm","code_information":[{"code":"48809","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Thyrotropin-binding Inhibitory Immuno","code_information":[{"code":"75816","type":"CDM"},{"code":"300","type":"RC"},{"code":"84235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Rvs Cntrl 6.5x30mm St/rst","code_information":[{"code":"53164","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53164","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Lk Scr 3.5hex 4.75x15 St","code_information":[{"code":"53165","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Lk Scr 3.5hex 4.75x20 St","code_information":[{"code":"53166","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53166","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Lk Scr 3.5hex 4.75x30 St","code_information":[{"code":"53167","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53167","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Rvs Cntrl 6.5x25mm St/rst","code_information":[{"code":"53179","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53179","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Lk Scr 3.5hex 4.75x25 St","code_information":[{"code":"53180","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53180","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Comp Nlk  Scr 3.5hex 4.75x15 St","code_information":[{"code":"53221","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":253,"gross_charge":276,"discounted_cash":207,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":253},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Endscp Bx Forcep 2.3mm*160cm Algtr Obsol","code_information":[{"code":"50388","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50388","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Endscp Bx Forcep 2.3mm*160cm Oval","code_information":[{"code":"50392","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Endscp Bx Forcep 2.3mm*230cm Oval","code_information":[{"code":"50393","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Endscp Gi Jaw Bx Forcep 2.3mm*230cm Oval","code_information":[{"code":"52481","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52481","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Endscp Bx Forcep 2.3mm*160cm Algtr","code_information":[{"code":"52518","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52518","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Zoledronic Acid 4mg/100ml Premix","code_information":[{"code":"306902","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021082682","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Airway Lma #2 Disposable Child","code_information":[{"code":"50383","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":252,"gross_charge":275,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":252},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Bartonella Dna Real-time Pcrquest","code_information":[{"code":"751404","type":"CDM"},{"code":"300","type":"RC"},{"code":"87801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":251,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Borrelia Species Dna (Pcr)quest","code_information":[{"code":"751925","type":"CDM"},{"code":"300","type":"RC"},{"code":"87801","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":251,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}]},{"description":"Zz Santyl15 Gm","code_information":[{"code":"304377","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":57,"maximum":251,"gross_charge":274,"discounted_cash":206,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":251},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":121}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"44139 Mobiliz Splenic Flex W Colectomy","code_information":[{"code":"CP17585603283898080","type":"CDM"},{"code":"510","type":"RC"},{"code":"44139","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":250,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Saw Blade Oscill. 19.5mm X 86mm X 1.27mm","code_information":[{"code":"48498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":250,"gross_charge":273,"discounted_cash":205,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":250},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"10021 Fine Needle Aspiration W/o Guida","code_information":[{"code":"CP17585600566553378","type":"CDM"},{"code":"521","type":"RC"},{"code":"10021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":249,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"10021 Fine Needle Aspiration W/o Guida","code_information":[{"code":"CP17585603283826239","type":"CDM"},{"code":"510","type":"RC"},{"code":"10021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":249,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Nebulizer-cont Lg Volume","code_information":[{"code":"60170","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60170","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":249,"gross_charge":272,"discounted_cash":204,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":249},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":120}]}]},{"description":"Guide Pin Ss 3.2mm X 230mm Threaded","code_information":[{"code":"48539","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48539","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  30mm","code_information":[{"code":"48810","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48810","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  40mm","code_information":[{"code":"48812","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48812","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  45mm","code_information":[{"code":"48813","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48813","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  50mm","code_information":[{"code":"48814","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48814","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  55mm","code_information":[{"code":"48815","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48815","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  60mm","code_information":[{"code":"48816","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48816","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  65mm","code_information":[{"code":"48817","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48817","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  70mm","code_information":[{"code":"48818","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48818","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  75mm","code_information":[{"code":"48819","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48819","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  80mm","code_information":[{"code":"48820","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  45mm","code_information":[{"code":"48830","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Screw Canc.6.5mm Full Thrd 30mm","code_information":[{"code":"48846","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48846","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Excision, Benign Skin Lesion Including M","code_information":[{"code":"CP17585600566630384","type":"CDM"},{"code":"521","type":"RC"},{"code":"11400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"33010 Pericardiocentesis","code_information":[{"code":"CP17585603283896438","type":"CDM"},{"code":"510","type":"RC"},{"code":"33010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Excision, Benign Skin Lesion Including M","code_information":[{"code":"CP17585603283910821","type":"CDM"},{"code":"510","type":"RC"},{"code":"11400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Pft-maximum Breathing Capacity","code_information":[{"code":"60141","type":"CDM"},{"code":"460","type":"RC"},{"code":"94200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Pst-6 Min Walk Test","code_information":[{"code":"60320","type":"CDM"},{"code":"460","type":"RC"},{"code":"94618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":248,"gross_charge":271,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":248},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Vancomycin 2000mg/400ml Ns Ivpb Premix","code_information":[{"code":"310892","type":"CDM"},{"code":"250","type":"RC"},{"code":"70594004401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":56,"maximum":247,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"Wound Manager 3x7 Medium","code_information":[{"code":"50102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":247,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"Co2 Airway Adapter 4.5mm & Higher","code_information":[{"code":"52233","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":247,"gross_charge":270,"discounted_cash":203,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":247},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":243},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":119}]}]},{"description":"11420 Exc Ben Les Scalp/hd/nk/ft 0.5","code_information":[{"code":"CP17585600566581478","type":"CDM"},{"code":"521","type":"RC"},{"code":"11420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Initial new patient preventative medicine evaluation (40-64 years)","code_information":[{"code":"CP17585600566673723","type":"CDM"},{"code":"521","type":"RC"},{"code":"99386","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"11420 Exc Ben Les Scalp/hd/nk/ft 0.5","code_information":[{"code":"CP17585603283833915","type":"CDM"},{"code":"510","type":"RC"},{"code":"11420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Modafinil/armodafinil (S/p)quest","code_information":[{"code":"758626","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Splint Wrist Lacer Left Medium","code_information":[{"code":"49112","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Splint Wrist Lacer Right Small","code_information":[{"code":"49129","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Splint Wrist Lacer Left Small","code_information":[{"code":"49321","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":56,"maximum":246,"gross_charge":269,"discounted_cash":202,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":246},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Fat Emulsion 20% Premix 500ml","code_information":[{"code":"311696","type":"CDM"},{"code":"636","type":"RC"},{"code":"CP311696","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Wound Vac Sensatrac Pad","code_information":[{"code":"52221","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP52221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Hx/exam, Normal Newborn, Assi","code_information":[{"code":"CP17585600566661658","type":"CDM"},{"code":"521","type":"RC"},{"code":"99463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Incision & Drainage, Bartholin's Gland A","code_information":[{"code":"CP17585600566679892","type":"CDM"},{"code":"521","type":"RC"},{"code":"56420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Frozen Section","code_information":[{"code":"17008","type":"CDM"},{"code":"310","type":"RC"},{"code":"88331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"First Tissue Block Frozen Section Single","code_information":[{"code":"22018","type":"CDM"},{"code":"310","type":"RC"},{"code":"88331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Transfusion Reaction Workup","code_information":[{"code":"35258","type":"CDM"},{"code":"300","type":"RC"},{"code":"86078","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":".Immediate Spin","code_information":[{"code":"35288","type":"CDM"},{"code":"300","type":"RC"},{"code":"86920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":".Incubation","code_information":[{"code":"35289","type":"CDM"},{"code":"300","type":"RC"},{"code":"86921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":".Antiglobulin","code_information":[{"code":"35290","type":"CDM"},{"code":"300","type":"RC"},{"code":"86922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Staple Gauge Endo Gia 30","code_information":[{"code":"49494","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49494","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Thyroid Stimulating Immunoglobulinque","code_information":[{"code":"751252","type":"CDM"},{"code":"300","type":"RC"},{"code":"84445","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Tissue Block First Frozen Section Single","code_information":[{"code":"751286","type":"CDM"},{"code":"310","type":"RC"},{"code":"88331","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":245,"gross_charge":268,"discounted_cash":201,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":245},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":118}]}]},{"description":"Uro Inf. Pump Introducer Set","code_information":[{"code":"50060","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50060","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Co2/o2 Nasal Cannula Adult","code_information":[{"code":"52231","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Co2/o2 Nasal Cannula Pediatric","code_information":[{"code":"52232","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52232","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Bilateral Other Peripheral Nerve Block","code_information":[{"code":"CP17585603283910015-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"64450","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585600566713695","type":"CDM"},{"code":"521","type":"RC"},{"code":"11306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes; 2.6 Cm To 5.0 Cm","code_information":[{"code":"CP17585600566716502","type":"CDM"},{"code":"521","type":"RC"},{"code":"12013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585603283959117","type":"CDM"},{"code":"510","type":"RC"},{"code":"11306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Simple Repair Of Superficial Wounds Of Face, Ears, Eyelids, Nose, Lips And/or Mucous Membranes; 2.6 Cm To 5.0 Cm","code_information":[{"code":"CP17585603283957829","type":"CDM"},{"code":"510","type":"RC"},{"code":"12013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":244,"gross_charge":267,"discounted_cash":200,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":244},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Tangential Biopsy Skin Single Lesion","code_information":[{"code":"CP17585603283950848","type":"CDM"},{"code":"510","type":"RC"},{"code":"11102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Knee Immobilizer 16  Universal","code_information":[{"code":"49221","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"43761 Repositioning Gastric Feeding Tube","code_information":[{"code":"CP17585603283890352","type":"CDM"},{"code":"510","type":"RC"},{"code":"43761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Emergency Dept Visit, 3 Key Components:","code_information":[{"code":"CP17585603283916727","type":"CDM"},{"code":"510","type":"RC"},{"code":"99284","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":".Respiratory Virus Panel, Pcr","code_information":[{"code":"751327","type":"CDM"},{"code":"300","type":"RC"},{"code":"87631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Peak Flow-low Range","code_information":[{"code":"60058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 16mm","code_information":[{"code":"52562","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52562","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 12mm","code_information":[{"code":"52563","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52563","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 14mm","code_information":[{"code":"52785","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 18mm","code_information":[{"code":"52787","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 20mm","code_information":[{"code":"52788","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 22mm","code_information":[{"code":"52789","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52789","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 24mm","code_information":[{"code":"52790","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52790","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Screw Locking Square 2.7mm X 26mm","code_information":[{"code":"52791","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52791","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}]},{"description":"Buprenorphine Vial 0.3mg/ml 1ml","code_information":[{"code":"313000","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023017905","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Acetylcysteine 10% Inh. Soln. 4ml","code_information":[{"code":"306107","type":"CDM"},{"code":"250","type":"RC"},{"code":"51775","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":4,"type":"ML"}},{"description":"Adult Epinephrine Anaphylaxis Kit","code_information":[{"code":"306999","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023015925","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Amiodarone Vial 900mg/18ml","code_information":[{"code":"304302","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457015318","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":900,"type":"ME"}},{"description":"Atropine Sulf Syringe 1mg/10ml","code_information":[{"code":"300149","type":"CDM"},{"code":"250","type":"RC"},{"code":"40916","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Dextrose 50% Adult Syringe 25gm/50ml","code_information":[{"code":"300499","type":"CDM"},{"code":"250","type":"RC"},{"code":"40975","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Doxycycline Vial 100mg","code_information":[{"code":"301880","type":"CDM"},{"code":"250","type":"RC"},{"code":"68382091010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Epinephrine Vial 1mg/ml","code_information":[{"code":"306965","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023015901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Hydrocortisone  Vial 100mg","code_information":[{"code":"301616-3","type":"CDM"},{"code":"250","type":"RC"},{"code":"90011","type":"CPT","modifier":"3"}],"standard_charges":[{"setting":"outpatient","modifier_code":["3"],"minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Insulin N 1000units/10ml Vial","code_information":[{"code":"312802-1","type":"CDM"},{"code":"637","type":"RC"},{"code":"28315","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1000,"type":"UN"}},{"description":"Insulin Nph/insulin R 70-30units/3ml Pen","code_information":[{"code":"308793-59","type":"CDM"},{"code":"637","type":"RC"},{"code":"28803","type":"CPT","modifier":"59"}],"standard_charges":[{"setting":"outpatient","modifier_code":["59"],"minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":30,"type":"UN"}},{"description":"Insulin R 1000units/10ml","code_information":[{"code":"312631-1","type":"CDM"},{"code":"636","type":"RC"},{"code":"28215","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1000,"type":"UN"}},{"description":"Ketamine Vial  500mg/5ml","code_information":[{"code":"308085","type":"CDM"},{"code":"250","type":"RC"},{"code":"40920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Ketamine Vial 200mg/20ml","code_information":[{"code":"312435","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023011310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Methylprednisolone Acetate Vial 80mg/ml","code_information":[{"code":"300487-1","type":"CDM"},{"code":"250","type":"RC"},{"code":"93475","type":"CPT","modifier":"1"}],"standard_charges":[{"setting":"outpatient","modifier_code":["1"],"minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Multivitamin Inj 10ml","code_information":[{"code":"301132","type":"CDM"},{"code":"250","type":"RC"},{"code":"54643564901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Naloxone Syringe 2mg/2ml","code_information":[{"code":"301177","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457099202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Octreotide  Vial 500mcg/ml","code_information":[{"code":"312210","type":"CDM"},{"code":"636","type":"RC"},{"code":"68462089701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Potassium Phosphate Vial 45mmol/15ml","code_information":[{"code":"300897","type":"CDM"},{"code":"250","type":"RC"},{"code":"40972","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Sodium Bicarb 8.4%  Pedi Syringe 10ml","code_information":[{"code":"301611","type":"CDM"},{"code":"250","type":"RC"},{"code":"40949","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Sodium Bicarb 8.4% Adult Syringe 50ml","code_information":[{"code":"301609","type":"CDM"},{"code":"250","type":"RC"},{"code":"40966","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Sulfameth/trimeth Vial 800mg/160mg","code_information":[{"code":"300184","type":"CDM"},{"code":"250","type":"RC"},{"code":"70395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Methylprednisolone Acetate Vial 80mg/ml","code_information":[{"code":"300487","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300487","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Imipenem/cilastatin Inj:500 Mg Vial","code_information":[{"code":"301435","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydrocortisone  Vial 100mg","code_information":[{"code":"301616","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301616","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pediatric Epinephrine Anaphylaxis Kit","code_information":[{"code":"307000","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP307000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppinsulin Lispro Vial 300units/3ml","code_information":[{"code":"308359","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1815","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin Nph/insulin R 70-30units/3ml Pen","code_information":[{"code":"308793","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Epinephrine Syringe 1mg/10ml Kit","code_information":[{"code":"312082","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sodium Bicarbonate 10meq/10ml Kit","code_information":[{"code":"312398","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin R 1000units/10ml","code_information":[{"code":"312631","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1815","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin N 1000units/10ml Vial","code_information":[{"code":"312802","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312802","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":265,"discounted_cash":199,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":117}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insitu Hybridization, First","code_information":[{"code":"758117","type":"CDM"},{"code":"312","type":"RC"},{"code":"88364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":55,"maximum":242,"gross_charge":264,"discounted_cash":198,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":242},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Tpn 3000 Ml Hyperal Container","code_information":[{"code":"47057","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Arthro Cannula 7.0mm Single Use","code_information":[{"code":"48931","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Arthro Cannula Cleartrac Threaded7.07mm","code_information":[{"code":"52890","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52890","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"20550 Bilat Inject Tendon/ligament","code_information":[{"code":"CP17585600566594771-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20550","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"20550 Bilat Inject Tendon/ligament","code_information":[{"code":"CP17585603283833061-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20550","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"60300 Aspir/inj Thyroid Cyst","code_information":[{"code":"CP17585603283909538","type":"CDM"},{"code":"510","type":"RC"},{"code":"60300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Drill Bit  1.8mm X 80mm Ect Quick-connt","code_information":[{"code":"494620","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP494620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Arthro Cannula 5.5mm Single Use","code_information":[{"code":"48930","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Splint Wrist Support Left Large","code_information":[{"code":"49100","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Support Lumbosacral Medium/large","code_information":[{"code":"49745","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0976","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Support Lumbosacral X-large","code_information":[{"code":"49763","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0976","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Support Lumbosacral Large","code_information":[{"code":"49776","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0976","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":241,"gross_charge":263,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":241},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":116}]}]},{"description":"Dress Polyur. Foam Ag Mepilex  6 X6","code_information":[{"code":"53028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Dress Polyur. Foam Ag Mepilex  4 X 8","code_information":[{"code":"53224","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Cath Radial Artery 20g 2-1/2       A4300","code_information":[{"code":"52143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Echogenic Ultraplex  Needle 360 22x2","code_information":[{"code":"53156","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"11301 Shave Tal Lesion .6-1.0cm","code_information":[{"code":"CP17585600566586241","type":"CDM"},{"code":"521","type":"RC"},{"code":"11301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"11301 Shave Tal Lesion .6-1.0cm","code_information":[{"code":"CP17585603283839194","type":"CDM"},{"code":"510","type":"RC"},{"code":"11301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":240,"gross_charge":262,"discounted_cash":197,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":240},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Blade Gigli Saw 20  (51cm)","code_information":[{"code":"49305","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":239,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Knee Immobilizer 20  Xx-lrg","code_information":[{"code":"50081","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":239,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Feeding Tube Radiopaque Dobbhoff  10fr","code_information":[{"code":"52863","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52863","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":239,"gross_charge":261,"discounted_cash":196,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":239},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":115}]}]},{"description":"Pt Re-evaluation","code_information":[{"code":"55269-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97164","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":54,"maximum":238,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Knee Immobilizer 24  Medium","code_information":[{"code":"50075","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":238,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".Alpha-1-antitypsin","code_information":[{"code":"758757","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":238,"gross_charge":260,"discounted_cash":195,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":238},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Skin Graft Dermatome Blade","code_information":[{"code":"49523","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Skin Graft Dermatome Blade Zimmer","code_information":[{"code":"49534","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49534","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Incision & Drainage, Abscess; Simple/sin","code_information":[{"code":"CP17585600566673419","type":"CDM"},{"code":"521","type":"RC"},{"code":"10060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Incision & Drainage, Abscess; Simple/sin","code_information":[{"code":"CP17585603283947670","type":"CDM"},{"code":"510","type":"RC"},{"code":"10060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Ot Re-evaluation Est Plan Of Care","code_information":[{"code":"55246","type":"CDM"},{"code":"434","type":"RC"},{"code":"97168","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".F2 (Prothrombin Coag Factor Ii)","code_information":[{"code":"751910","type":"CDM"},{"code":"310","type":"RC"},{"code":"81240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Prothrombin (Factor Ii) 20210g>a Mutatio","code_information":[{"code":"752510","type":"CDM"},{"code":"310","type":"RC"},{"code":"81240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Eszopiclone Qnt (Urine)quest","code_information":[{"code":"758291","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Voriconazolequest","code_information":[{"code":"758593","type":"CDM"},{"code":"300","type":"RC"},{"code":"80285","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":54,"maximum":237,"gross_charge":259,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":237},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Uro Inf. Pump Tubing","code_information":[{"code":"50059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Ortho Ti Washer  7.0mm","code_information":[{"code":"50999","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Medicare Awv Subsq","code_information":[{"code":"CP17585600566681691","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0439","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Pxinj Px For Shldr Arthrography","code_information":[{"code":"40005","type":"CDM"},{"code":"761","type":"RC"},{"code":"23350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Ortho Bone Cement R 1x40us","code_information":[{"code":"52505","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".Neuronal Vgkc Autoantibody","code_information":[{"code":"752062","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".N-type Calcium Channel Antibody","code_information":[{"code":"752063","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".P/q-type Calcium Channel Antibody","code_information":[{"code":"752064","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":".Quantitative By Radioimmunoassay","code_information":[{"code":"758175","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Anesthesia Iv Conscious Sedation","code_information":[{"code":"13380000","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP13380000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":236,"gross_charge":258,"discounted_cash":194,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":236},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":114}]}]},{"description":"Anes. Adaptor Swivel Fibroptic/bronch","code_information":[{"code":"49638","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49638","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":235,"gross_charge":257,"discounted_cash":193,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":235},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"11042 Debride Skin/tissue","code_information":[{"code":"CP17585600566581493","type":"CDM"},{"code":"521","type":"RC"},{"code":"11042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"11042 Debride Skin/tissue","code_information":[{"code":"CP17585603283839432","type":"CDM"},{"code":"510","type":"RC"},{"code":"11042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":".Nonendocrine Receptor Assay","code_information":[{"code":"751155","type":"CDM"},{"code":"300","type":"RC"},{"code":"84238","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Soluble Transferrin Receptorquest","code_information":[{"code":"757086","type":"CDM"},{"code":"300","type":"RC"},{"code":"84238","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Opt Knife Crescent Full Handle Straight","code_information":[{"code":"49860","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Splint Spring Finger Extension 3","code_information":[{"code":"50012","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":234,"gross_charge":256,"discounted_cash":192,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":234},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":113}]}]},{"description":"Activbraid #2-0 Bl Tpr Ndl","code_information":[{"code":"53153","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":233,"gross_charge":255,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":233},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Electrosurg Loop Electrode 15mmx12mm","code_information":[{"code":"49455","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49455","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Electrosurg Loop Electrode 20mmx12mm","code_information":[{"code":"49456","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49456","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Tubing Redivac Directional Flow Control","code_information":[{"code":"49736","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Lap Suture Endoloop Vicryl 0 Ej10g","code_information":[{"code":"49815","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49815","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Guide Pin Ss 1.1mm X 150mm Thrd","code_information":[{"code":"50824","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Lap Suture Endoloop Vicryl 0 Ej10g","code_information":[{"code":"52435","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}]},{"description":"Clindamycin Premix 900mg/50ml D5w","code_information":[{"code":"305992","type":"CDM"},{"code":"250","type":"RC"},{"code":"78132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":900,"type":"ME"}},{"description":"Dopamine Adult Premix 800mg/250ml","code_information":[{"code":"310357","type":"CDM"},{"code":"250","type":"RC"},{"code":"33810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Heparin/d5w Premix 50units/ml-500ml","code_information":[{"code":"310423","type":"CDM"},{"code":"250","type":"RC"},{"code":"26495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":50,"type":"UN"}},{"description":"Hetastarch 6% Premix 500ml","code_information":[{"code":"310024","type":"CDM"},{"code":"250","type":"RC"},{"code":"40972","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Cefazolin 2gm/100ml D5w Ivpb","code_information":[{"code":"311997","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0690","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":53,"maximum":232,"gross_charge":254,"discounted_cash":191,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":232},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":112}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ultralente(insulin-u): 100u/ml Inj","code_information":[{"code":"300827","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw Periart.3.5mm W/2.7mm Head X 14mm","code_information":[{"code":"50551","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50551","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Screw Periart 3.5x18mm W/2.7mm Head","code_information":[{"code":"52387","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52387","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Screw Periart 3.5x16mm W/2.7mm Head","code_information":[{"code":"53023","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Screw Periart 3.5x20 Mm W/2.7mm Head","code_information":[{"code":"53024","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Patient office consultation, 40 min","code_information":[{"code":"CP17585603283949149","type":"CDM"},{"code":"521","type":"RC"},{"code":"99243","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":253,"discounted_cash":190,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":".Buprenorphine","code_information":[{"code":"758570","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":".Cannabinoids Natural","code_information":[{"code":"758571","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":".Methylenedioxyamphetamines","code_information":[{"code":"758572","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"E-surg Lletz/leep Ball Electrode 3mm","code_information":[{"code":"49457","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"E-surg/leep Square Electrode S101","code_information":[{"code":"52318","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52318","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"E-surg/leep Square Electrode S107","code_information":[{"code":"52319","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52319","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"E-surg/leep Square Electrode V1004","code_information":[{"code":"52320","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52320","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Guide Pin Chs 3.2mm Tip Threaded","code_information":[{"code":"48333","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Splint Burnham Thumb","code_information":[{"code":"49703","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49703","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Splint Burnham Finger","code_information":[{"code":"49704","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49704","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":231,"gross_charge":252,"discounted_cash":189,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":231},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":111}]}]},{"description":"Nafcillin Inj: 2 Gm Vial","code_information":[{"code":"304141","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":230,"gross_charge":251,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Destruction, Vaginal Lesion(s); Simple,","code_information":[{"code":"CP17585600566601721","type":"CDM"},{"code":"521","type":"RC"},{"code":"57061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":230,"gross_charge":251,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"31500 Emergency Intubation Endotracheal","code_information":[{"code":"CP17585603283893895","type":"CDM"},{"code":"510","type":"RC"},{"code":"31500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":230,"gross_charge":251,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Ex.fix. Clamp Open","code_information":[{"code":"48115","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":230,"gross_charge":251,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":230},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Opt Knife Slit 2.5mm Angled Full Handle","code_information":[{"code":"49973","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49973","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":229,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Morphine 1mg/ml D5w 250ml Premixed","code_information":[{"code":"3042259","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP3042259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":52,"maximum":229,"gross_charge":250,"discounted_cash":188,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":229},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Foley Coude Tip 5cc 14fr    *Latex*","code_information":[{"code":"49635","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":228,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Cath Foley Coude Tip 5cc 16fr    *Latex*","code_information":[{"code":"49636","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49636","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":228,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Gastroscope Cytology Brush Adult","code_information":[{"code":"49789","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49789","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":228,"gross_charge":249,"discounted_cash":187,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":228},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":110}]}]},{"description":"Knee Immobilizer 24  Small","code_information":[{"code":"50074","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":227,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Knee Immobilizer 16  Small","code_information":[{"code":"50077","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":227,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Cath Radial Artery 20g 5       A4300","code_information":[{"code":"52144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":227,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Compression Syst Coban 2 Layer Lite 4","code_information":[{"code":"53183","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53183","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":227,"gross_charge":248,"discounted_cash":186,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":227},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"11310 Shave Epidermal Lesion Feenlm 0.5c","code_information":[{"code":"CP17585600566583173","type":"CDM"},{"code":"521","type":"RC"},{"code":"11310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":226,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"11310 Shave Epidermal Lesion Feenlm 0.5c","code_information":[{"code":"CP17585603283838145","type":"CDM"},{"code":"510","type":"RC"},{"code":"11310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":226,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Ep Visit Limited 16-30 Min","code_information":[{"code":"69012","type":"CDM"},{"code":"761","type":"RC"},{"code":"99212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":226,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Tray Spinal 25g W/duraprep","code_information":[{"code":"52116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":226,"gross_charge":247,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":226},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":109}]}]},{"description":"Cyto Fluids (Washings/brushings)","code_information":[{"code":"17023","type":"CDM"},{"code":"310","type":"RC"},{"code":"88104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":225,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Screw T15 Lp Cort 3.5mm X 20mm Ns","code_information":[{"code":"53137","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":225,"gross_charge":246,"discounted_cash":185,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":225},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566714322","type":"CDM"},{"code":"521","type":"RC"},{"code":"99397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Shaving Skin Lesion, Face/ears/eyelids/n","code_information":[{"code":"CP17585600566712738","type":"CDM"},{"code":"521","type":"RC"},{"code":"11311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Shaving Skin Lesion, Face/ears/eyelids/n","code_information":[{"code":"CP17585603283958371","type":"CDM"},{"code":"510","type":"RC"},{"code":"11311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":".Molecular Interphase In Situ Hyb 25-99","code_information":[{"code":"751120","type":"CDM"},{"code":"310","type":"RC"},{"code":"88274","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"K-wire Troc 2 X 150mm","code_information":[{"code":"52364","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Twist Drill 32x145mm Ao Thd Red","code_information":[{"code":"52365","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52365","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Twist Drill 2.7x125mm Aom Thd Blk","code_information":[{"code":"52366","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Lkng Scr 40x38mm 10","code_information":[{"code":"52367","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52367","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Lkng Scr 40x40mm 10","code_information":[{"code":"52368","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52368","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Lkng Scr 40x42 Mm 10","code_information":[{"code":"52369","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Lkng Scr 40x44 Mm 10","code_information":[{"code":"52370","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Scr Std 40x36 Mm 10","code_information":[{"code":"52371","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52371","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Scr Std 40x34 Mm 10","code_information":[{"code":"52372","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52372","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Scr Std 40x40 Mm 10","code_information":[{"code":"52373","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52373","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Scr Std 40x46 Mm 10","code_information":[{"code":"52374","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52374","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Lkng Scr 40x28 Mm 10","code_information":[{"code":"52375","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52375","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ti Scr Std 40x38 Mm 10","code_information":[{"code":"52376","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52376","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Ankle Fix Ti Plt Lg Lt","code_information":[{"code":"52377","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":51,"maximum":224,"gross_charge":245,"discounted_cash":184,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":224},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":108}]}]},{"description":"Cath Mushroom/pezzar 16fr        *Latex*","code_information":[{"code":"49521","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Gastric Lavage Kit Ethox","code_information":[{"code":"49542","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49542","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Cath Mushroom/pezzar 22fr        *Latex*","code_information":[{"code":"50192","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50192","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Urine Leg Bag Disp Medium Latex Free 4pk","code_information":[{"code":"50316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #3 Disp Child/sml Adult","code_information":[{"code":"52205","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #4 Disp Medium Adult","code_information":[{"code":"52206","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #5 Disp Large Adult","code_information":[{"code":"52207","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Apnealink Consumable Kit","code_information":[{"code":"52227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #1.5 Disp Neonatal","code_information":[{"code":"52228","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #2 Disp Small Pediatric","code_information":[{"code":"52229","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Airway I-gel #2.5 Disp Lrg Pediatric","code_information":[{"code":"52230","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Belt Reusable","code_information":[{"code":"52400","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52400","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Cannula Standard","code_information":[{"code":"52401","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Sensor Adult 36''","code_information":[{"code":"52402","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52402","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":223,"gross_charge":244,"discounted_cash":183,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":223},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":".Tissue Culture, Non-neoplastic Disorder","code_information":[{"code":"75498","type":"CDM"},{"code":"310","type":"RC"},{"code":"88230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":".Tissue Culture, Non-neoplastic Disorder","code_information":[{"code":"751881","type":"CDM"},{"code":"310","type":"RC"},{"code":"88230","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Drug Monitoring Panel 1 W/ Confirm Urine","code_information":[{"code":"757265","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Drug Monitoring Panel 7 W/ Confirm Urine","code_information":[{"code":"757994","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Drug Monitoring Panel 3 W/ Confirm Urine","code_information":[{"code":"758017","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Wound Drain Round 15fr 3/16  W/trocar","code_information":[{"code":"49547","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Wound Drain Kit 800cc W/ Pvc Tubing","code_information":[{"code":"49562","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49562","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}]},{"description":"Activated Charcoal Liquid 25gm/120ml","code_information":[{"code":"300011","type":"CDM"},{"code":"637","type":"RC"},{"code":"57405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":222,"gross_charge":243,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":222},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":219},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":107}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Destruction, Any Method, Flat Warts, Mol","code_information":[{"code":"CP17585600566600999","type":"CDM"},{"code":"521","type":"RC"},{"code":"17110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Incision & Drainage, Vulva/perineal Absc","code_information":[{"code":"CP17585600566677882","type":"CDM"},{"code":"521","type":"RC"},{"code":"56405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Destruction, Any Method, Flat Warts, Mol","code_information":[{"code":"CP17585603283912879","type":"CDM"},{"code":"510","type":"RC"},{"code":"17110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Inspection Of Gastrointestinal Tract, Via Natural Or Artificial Approach","code_information":[{"code":"CP17585603283944404","type":"CDM"},{"code":"510","type":"RC"},{"code":"45990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":".Nllag Typing, Each Unit Sent, 4 Ags","code_information":[{"code":"750938","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Dhs 4.5mm  36mm Self-tapping Zmr","code_information":[{"code":"51229","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":242,"discounted_cash":182,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  50mm","code_information":[{"code":"48831","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48831","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  55mm","code_information":[{"code":"48832","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Canc.6.5mm 32mm Thrd  65mm","code_information":[{"code":"48834","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Canc.6.5mm Full Thrd 35mm","code_information":[{"code":"48847","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48847","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Canc.6.5mm Full Thrd 40mm","code_information":[{"code":"48848","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Phil Cerv Collar Med Regular","code_information":[{"code":"49920","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Cath Umbilical 3.5fr","code_information":[{"code":"50092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Pca Infusor Device","code_information":[{"code":"47070","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47070","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Care Plan Oversight","code_information":[{"code":"CP17585600566605885","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0181","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Hospital Discharge Day Management; > 30","code_information":[{"code":"CP17585600566663729","type":"CDM"},{"code":"521","type":"RC"},{"code":"99239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Pelvic Exam Under Anesthesia","code_information":[{"code":"CP17585600566710954","type":"CDM"},{"code":"521","type":"RC"},{"code":"57410","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Hospital Discharge Day Management; > 30","code_information":[{"code":"CP17585603283932231","type":"CDM"},{"code":"510","type":"RC"},{"code":"99239","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Nebulizer Treatment","code_information":[{"code":"60008","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Sputum Induction","code_information":[{"code":"60056","type":"CDM"},{"code":"410","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Aerosol Heated Initial Eval","code_information":[{"code":"60065","type":"CDM"},{"code":"410","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Flutter Valve Patient Demonstration/eval","code_information":[{"code":"60300","type":"CDM"},{"code":"410","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Intubation, Endotracheal Emergency","code_information":[{"code":"65361","type":"CDM"},{"code":"450","type":"RC"},{"code":"31500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Changed Trach Tube","code_information":[{"code":"65461","type":"CDM"},{"code":"450","type":"RC"},{"code":"31502","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"I & D Peritonsillar","code_information":[{"code":"65472","type":"CDM"},{"code":"450","type":"RC"},{"code":"42700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Drainage  Of Abscess Of Palate, Uvula","code_information":[{"code":"69535","type":"CDM"},{"code":"450","type":"RC"},{"code":"42000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Biopsy Needle 18g 1/16 -1 7/16","code_information":[{"code":"49614","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49614","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":221,"gross_charge":241,"discounted_cash":181,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":221},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Tray Foley Cath 16fr 5cc&drainage Bag","code_information":[{"code":"52175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Cath Kit Straight 12fr  Rusch Mmg H20","code_information":[{"code":"52478","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Casting Splint 4x30 Scotchcast","code_information":[{"code":"50137","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Uretrl Stent Guidewire 0.025  Flex Tip","code_information":[{"code":"50193","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50193","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 16mm","code_information":[{"code":"50955","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50955","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 18mm","code_information":[{"code":"50956","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50956","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 20mm","code_information":[{"code":"50957","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50957","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 22mm","code_information":[{"code":"50958","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 24mm","code_information":[{"code":"50959","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50959","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 26mm","code_information":[{"code":"50960","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 28mm","code_information":[{"code":"50961","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50961","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 30mm","code_information":[{"code":"50962","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50962","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 32mm","code_information":[{"code":"50963","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50963","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 34mm","code_information":[{"code":"50964","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50964","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 36mm","code_information":[{"code":"50965","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50965","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Screw Ti Shaft 3.5mm 38mm","code_information":[{"code":"50966","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50966","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"12011  Simple Rpr Feenl 2.5cm Or Less","code_information":[{"code":"CP17585603283837790","type":"CDM"},{"code":"510","type":"RC"},{"code":"12011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"Injection(s) of therapeutic substance","code_information":[{"code":"850052","type":"CDM"},{"code":"OSP","type":"RC"},{"code":"62323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":50,"maximum":220,"gross_charge":240,"discounted_cash":180,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":220},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":106}]}]},{"description":"12002 Simple Repr Wnd Trk/extrm 2.6-7.5","code_information":[{"code":"CP17585600566592387","type":"CDM"},{"code":"521","type":"RC"},{"code":"12002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Nursing Facility Discharge Day Managemen","code_information":[{"code":"CP17585600566680044","type":"CDM"},{"code":"521","type":"RC"},{"code":"99316","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585600566685221","type":"CDM"},{"code":"521","type":"RC"},{"code":"99214","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"New patient office or other outpatient visit, 30 min","code_information":[{"code":"CP17585600566688952","type":"CDM"},{"code":"521","type":"RC"},{"code":"99203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"12002 Simple Repr Wnd Trk/extrm 2.6-7.5","code_information":[{"code":"CP17585603283830399","type":"CDM"},{"code":"510","type":"RC"},{"code":"12002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"42400 Bx Salivary Gland Needle","code_information":[{"code":"CP17585603283895932","type":"CDM"},{"code":"510","type":"RC"},{"code":"42400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585603283949083","type":"CDM"},{"code":"510","type":"RC"},{"code":"99214","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"New patient office or other outpatient visit, 30 min","code_information":[{"code":"CP17585603283949099","type":"CDM"},{"code":"521","type":"RC"},{"code":"99203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"I/d Bartholin's Gland Abscess","code_information":[{"code":"65383","type":"CDM"},{"code":"450","type":"RC"},{"code":"56420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Bnp","code_information":[{"code":"351156","type":"CDM"},{"code":"300","type":"RC"},{"code":"83880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Questbnp","code_information":[{"code":"758809","type":"CDM"},{"code":"300","type":"RC"},{"code":"83880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}]},{"description":"Triethanolamine(cerumenex) Otic Sol:12ml","code_information":[{"code":"300331","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":218,"gross_charge":238,"discounted_cash":179,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":218},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":105}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Initial new patient preventative medicine evaluation (18-39 years)","code_information":[{"code":"CP17585600566670992","type":"CDM"},{"code":"521","type":"RC"},{"code":"99385","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":217,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Subsq Obsv Care 2 Of 3 Key Components","code_information":[{"code":"CP17585600566721648","type":"CDM"},{"code":"521","type":"RC"},{"code":"99226","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":217,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Subsq Obsv Care 2 Of 3 Key Components","code_information":[{"code":"CP17585603283953418","type":"CDM"},{"code":"510","type":"RC"},{"code":"99226","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":217,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Microscopic (Id); Level Ii Dcpa","code_information":[{"code":"17006","type":"CDM"},{"code":"310","type":"RC"},{"code":"88302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":217,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Microscopic Diagnostic; Level Iiidcpa","code_information":[{"code":"17015","type":"CDM"},{"code":"310","type":"RC"},{"code":"88304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":217,"gross_charge":237,"discounted_cash":178,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":217},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Cath Foley Coude Tip 5cc 18fr    *Latex*","code_information":[{"code":"49637","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49637","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Canc.6.5mm 16mm Thrd  35mm","code_information":[{"code":"48811","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48811","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Canc.6.5mm Full Thrd 25mm","code_information":[{"code":"48845","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48845","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Electrosurg Smoke Evac Attachment","code_information":[{"code":"49062","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":".Transfusion Set Neonatal 60cc Syr.w/fil","code_information":[{"code":"49597","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49597","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Biopsy Needle 15g 3/8 -1 7/8","code_information":[{"code":"49613","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Closed Injectate Delivery System","code_information":[{"code":"49762","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 10mm","code_information":[{"code":"50937","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50937","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 12mm","code_information":[{"code":"50938","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 14mm","code_information":[{"code":"50939","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50939","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 16mm","code_information":[{"code":"50940","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 18mm","code_information":[{"code":"50941","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50941","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 20mm","code_information":[{"code":"50942","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50942","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Screw Ti Cort.3.5mm 22mm","code_information":[{"code":"50943","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":216,"gross_charge":236,"discounted_cash":177,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":216},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":104}]}]},{"description":"Tetracaine(pontocaine)top Soln 2%:30 Ml-","code_information":[{"code":"304067","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paricalcitriol 5mcg/ml Injection","code_information":[{"code":"304125","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Splint Spring Finger Extension 3 (B)","code_information":[{"code":"49050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Med Short","code_information":[{"code":"49156","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Lrg Short","code_information":[{"code":"49157","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Sml Short","code_information":[{"code":"49464","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Sml Regular","code_information":[{"code":"49918","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Sml Tall","code_information":[{"code":"49919","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Med Tall","code_information":[{"code":"49921","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Phil Cerv Collar Lrg Tall","code_information":[{"code":"49923","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0172","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Ortho Ss Washer  7.0mm","code_information":[{"code":"50731","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50731","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Guide Pin Ss 1.1mm X 150mm Non-thrd","code_information":[{"code":"50825","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Gentamicin   0.3% Opht. Oint. 3.5gm Tube","code_information":[{"code":"300702","type":"CDM"},{"code":"637","type":"RC"},{"code":"17478028435","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dsi Split Testing Uds Pt Request","code_information":[{"code":"75931","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":49,"maximum":215,"gross_charge":235,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":215},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:d","code_information":[{"code":"CP17585600566717003","type":"CDM"},{"code":"521","type":"RC"},{"code":"99233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":214,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:d","code_information":[{"code":"CP17585603283956417","type":"CDM"},{"code":"510","type":"RC"},{"code":"99233","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":214,"gross_charge":234,"discounted_cash":176,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":214},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"43754 Gastric Intub/aspir Diagnostic","code_information":[{"code":"CP17585603283896577","type":"CDM"},{"code":"510","type":"RC"},{"code":"43754","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"47001 Add-on Liver Bx When Done W Other","code_information":[{"code":"CP17585603283905021","type":"CDM"},{"code":"510","type":"RC"},{"code":"47001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Pt Orthotic Mgmt & Training, Init 15 Min","code_information":[{"code":"55421-GP","type":"CDM"},{"code":"424","type":"RC"},{"code":"97760","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Laryngoscopy Fiberoptic Diagnostic","code_information":[{"code":"65362","type":"CDM"},{"code":"450","type":"RC"},{"code":"31575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Laryngoscopy","code_information":[{"code":"65462","type":"CDM"},{"code":"450","type":"RC"},{"code":"31505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Clavicle/shoulder Immobilizer Bilat","code_information":[{"code":"65922-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29240","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Knee Immobilizer Bilateral","code_information":[{"code":"65926-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29530","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Removal Fb Intranasal Bilat","code_information":[{"code":"65929-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"30300","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Control Nasal Hemorrhage Ant Simple Bila","code_information":[{"code":"65930-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"30901","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Control Nasal Hemorrhage Ant Cmplx Bilat","code_information":[{"code":"65931-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"30903","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Epistaxsis Control Posterior Bilat","code_information":[{"code":"65932-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"30905","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Removal Fb External Eye Conjun/superf Bi","code_information":[{"code":"65935-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"65205","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Removal Fb Corneal W/ Slit Lamp Bilat","code_information":[{"code":"65937-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"65222","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Removal Fb External Auditory Canal Bil","code_information":[{"code":"65938-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"69200","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Application Of Short Arm Splint Bilat","code_information":[{"code":"69521-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29125","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Amitriptylinequest","code_information":[{"code":"75131","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Desipraminequest","code_information":[{"code":"75153","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Imipraminequest","code_information":[{"code":"75187","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Clomipraminequest","code_information":[{"code":"75685","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Tricyclic Antidepressants Confirm Urine","code_information":[{"code":"757264","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Knee Immobilizer 24  X-large","code_information":[{"code":"50082","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Nortriptylinequest","code_information":[{"code":"75389","type":"CDM"},{"code":"300","type":"RC"},{"code":"80335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":213,"gross_charge":233,"discounted_cash":175,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":213},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":103}]}]},{"description":"Gardasil Hpv Vaccine","code_information":[{"code":"CP17585600566633368","type":"CDM"},{"code":"521","type":"RC"},{"code":"90649","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Injection(s) Single Tendon Sheath. Or Ligament","code_information":[{"code":"CP17585600566679609","type":"CDM"},{"code":"521","type":"RC"},{"code":"20500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Prednisolone 1% Opth Susp. 5ml","code_information":[{"code":"312688","type":"CDM"},{"code":"637","type":"RC"},{"code":"61314063705","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Injection(s) Single Tendon Sheath. Or Ligament","code_information":[{"code":"CP17585603283940731","type":"CDM"},{"code":"510","type":"RC"},{"code":"20500","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Renin Activityquest","code_information":[{"code":"75063","type":"CDM"},{"code":"300","type":"RC"},{"code":"84244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Bismuthquest","code_information":[{"code":"751131","type":"CDM"},{"code":"300","type":"RC"},{"code":"83018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":".Fetal Lung Maturity Assessment; Lecithi","code_information":[{"code":"751263","type":"CDM"},{"code":"300","type":"RC"},{"code":"83661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":".Renin","code_information":[{"code":"751435","type":"CDM"},{"code":"300","type":"RC"},{"code":"84244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Irrig P'vac Fan Spray Tip","code_information":[{"code":"48947","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Knee Immobilizer 12  Universal","code_information":[{"code":"49105","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Splint Finger Knuckle Bender Large","code_information":[{"code":"49360","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Splint Finger Rev.knuckle Bender X-small","code_information":[{"code":"50112","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Splint Finger Rev.knuckle Bender Small","code_information":[{"code":"50113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Splint Finger Rev.knuckle Bender Medium","code_information":[{"code":"50114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Splint Finger Knuckle Bender Medium","code_information":[{"code":"50115","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Shave Epi/derm Lesion 1.1 To 2.0 Cm","code_information":[{"code":"65532","type":"CDM"},{"code":"450","type":"RC"},{"code":"11312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Dsg/debride Part-thick Burn, Ini Large","code_information":[{"code":"65570","type":"CDM"},{"code":"450","type":"RC"},{"code":"16030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":212,"gross_charge":232,"discounted_cash":174,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":212},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Gastroscope Cytology Brush Pediatric","code_information":[{"code":"49723","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49723","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Cath Ureteral Open Tip 70cm 6fr","code_information":[{"code":"50198","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50198","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Ortho Ti Washer  6.5mm","code_information":[{"code":"50783","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 28mm","code_information":[{"code":"50859","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 30mm","code_information":[{"code":"50860","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50860","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 32mm","code_information":[{"code":"50861","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 34mm","code_information":[{"code":"50862","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50862","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 36mm","code_information":[{"code":"50863","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50863","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 38mm","code_information":[{"code":"50864","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Screw Ti Shaft 4.5mm 40mm","code_information":[{"code":"50865","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Discovisc (Ovd)","code_information":[{"code":"52464","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52464","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":".Cryo(single Unit), Charge","code_information":[{"code":"751647","type":"CDM"},{"code":"387","type":"RC"},{"code":"P9012","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":211,"gross_charge":231,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":211},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":102}]}]},{"description":"Oxygen Er/recovery","code_information":[{"code":"60012","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 14mm","code_information":[{"code":"51010","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 18mm","code_information":[{"code":"51011","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 20mm","code_information":[{"code":"51012","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 24mm","code_information":[{"code":"51013","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51013","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 30mm","code_information":[{"code":"51014","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 16mm","code_information":[{"code":"51090","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 26mm","code_information":[{"code":"51198","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51198","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 34mm","code_information":[{"code":"52361","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 36mm","code_information":[{"code":"52362","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 10mm","code_information":[{"code":"52648","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 12mm","code_information":[{"code":"52649","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 22mm","code_information":[{"code":"52650","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 28mm","code_information":[{"code":"52651","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52651","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 32mm","code_information":[{"code":"52652","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 38mm","code_information":[{"code":"52653","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52653","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 40mm","code_information":[{"code":"52654","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52654","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 45mm","code_information":[{"code":"52655","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52655","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 50mm","code_information":[{"code":"52656","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52656","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 55mm","code_information":[{"code":"52657","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 60mm","code_information":[{"code":"52658","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 65mm","code_information":[{"code":"52659","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52659","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 70mm","code_information":[{"code":"52660","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 75mm","code_information":[{"code":"52661","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52661","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Cort.3.5mm Self Tapping 80mm","code_information":[{"code":"52662","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52662","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Cath Foley Coude Tip 5cc 20fr    *Latex*","code_information":[{"code":"50058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Periart 3.5x10mm W/2.7mm Head","code_information":[{"code":"52993","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52993","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":48,"maximum":210,"gross_charge":230,"discounted_cash":173,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Endscp Bx Forcep Coated 2.3mm*160cm Oval","code_information":[{"code":"50391","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50391","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Cortisol Panel (3 Levels) Part 3","code_information":[{"code":"75654","type":"CDM"},{"code":"300","type":"RC"},{"code":"80400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Sex Hormone Binding Globulinquest","code_information":[{"code":"750670","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Methylenetetrahydrofolate Reductasequ","code_information":[{"code":"752511","type":"CDM"},{"code":"310","type":"RC"},{"code":"81291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":".Assay Of Sex Hormone Binding Globulin (","code_information":[{"code":"758255","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Splint Wrist Lacer Right Medium","code_information":[{"code":"49134","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Splint Wrist Lacer Right Large","code_information":[{"code":"49135","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Cath Groshong 8.0fr Repl.cnnctr    A4300","code_information":[{"code":"49567","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49567","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Electrosurg Suction Coagulator 10fr 16","code_information":[{"code":"49681","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49681","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 24mm","code_information":[{"code":"50944","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50944","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 26mm","code_information":[{"code":"50945","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 28mm","code_information":[{"code":"50946","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50946","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 30mm","code_information":[{"code":"50947","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50947","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 32mm","code_information":[{"code":"50948","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 34mm","code_information":[{"code":"50949","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 36mm","code_information":[{"code":"50950","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 38mm","code_information":[{"code":"50951","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 40mm","code_information":[{"code":"50952","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 45mm","code_information":[{"code":"50953","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50953","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Ti Cort.3.5mm 50mm","code_information":[{"code":"50954","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50954","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Co2 Detector Pedi Cap","code_information":[{"code":"60183","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60183","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":210,"gross_charge":229,"discounted_cash":172,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":210},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":101}]}]},{"description":"Screw Dhs 4.5mm  48mm Self-tapping","code_information":[{"code":"48322","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Arthro Cannula 5mm X 55mm Meniscal Rpr","code_information":[{"code":"48938","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48938","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Cath Foley Irr 30cc 18fr         *Latex*","code_information":[{"code":"49127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Initial Preventive Medicine E&m W/ Compr","code_information":[{"code":"CP17585600566676885","type":"CDM"},{"code":"521","type":"RC"},{"code":"99384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"I/d Drainage Of Abscess","code_information":[{"code":"65300","type":"CDM"},{"code":"450","type":"RC"},{"code":"10060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Avulsion Of Nail Plate Part/comp Sing/si","code_information":[{"code":"65305","type":"CDM"},{"code":"450","type":"RC"},{"code":"11730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65310","type":"CDM"},{"code":"450","type":"RC"},{"code":"12001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65311","type":"CDM"},{"code":"450","type":"RC"},{"code":"12002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65312","type":"CDM"},{"code":"450","type":"RC"},{"code":"12004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65314","type":"CDM"},{"code":"450","type":"RC"},{"code":"12011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65315","type":"CDM"},{"code":"450","type":"RC"},{"code":"12013","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65316","type":"CDM"},{"code":"450","type":"RC"},{"code":"12014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65317","type":"CDM"},{"code":"450","type":"RC"},{"code":"12015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Initial Tx 1st Degree Burn, Local Tx","code_information":[{"code":"65326","type":"CDM"},{"code":"450","type":"RC"},{"code":"16000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Dsg/debride Part-thick Burn Init/sub","code_information":[{"code":"65327","type":"CDM"},{"code":"450","type":"RC"},{"code":"16020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Scalp/neck/axil/extgen/trk/extrm","code_information":[{"code":"65494","type":"CDM"},{"code":"450","type":"RC"},{"code":"12007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Smplrpr Face/ears/eyelid/nose/lip/mm","code_information":[{"code":"65497","type":"CDM"},{"code":"450","type":"RC"},{"code":"12018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Removal Skin Tags, Multi Fibro Tags, Any","code_information":[{"code":"69524","type":"CDM"},{"code":"450","type":"RC"},{"code":"11200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Drainage Of Finger Abscess, Simple","code_information":[{"code":"69538","type":"CDM"},{"code":"450","type":"RC"},{"code":"26010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Estrogens Total (Immunoassay)quest","code_information":[{"code":"75155","type":"CDM"},{"code":"300","type":"RC"},{"code":"82672","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Immunohistochemistry Additional","code_information":[{"code":"757214","type":"CDM"},{"code":"310","type":"RC"},{"code":"88341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Immunohistochem Ea Add Ab Dcpa","code_information":[{"code":"757256","type":"CDM"},{"code":"310","type":"RC"},{"code":"88341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":209,"gross_charge":228,"discounted_cash":171,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":209},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Press.monitor Kit Px260","code_information":[{"code":"49540","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49540","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Heel Protector Quilted","code_information":[{"code":"50308","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50308","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Ortho Ss Washer Thrd For 6.5 Cann.screw","code_information":[{"code":"50823","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Encephalitis, California","code_information":[{"code":"758873","type":"CDM"},{"code":"300","type":"RC"},{"code":"86651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Encephalitis, Eastern Equine","code_information":[{"code":"758874","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Encephalitis, St. Louis","code_information":[{"code":"758875","type":"CDM"},{"code":"300","type":"RC"},{"code":"86653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":".Encephalitis, Western Equine","code_information":[{"code":"758876","type":"CDM"},{"code":"300","type":"RC"},{"code":"86654","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Initial Hosp Care 3 Key Components:detai","code_information":[{"code":"CP17585600566678120","type":"CDM"},{"code":"521","type":"RC"},{"code":"99221","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Initial Hosp Care 3 Key Components:detai","code_information":[{"code":"CP17585603283949393","type":"CDM"},{"code":"510","type":"RC"},{"code":"99221","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Initial Inpt Consult, 3 Key Components:","code_information":[{"code":"CP17585603283942958","type":"CDM"},{"code":"510","type":"RC"},{"code":"99251","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Ice Pack Xl  11x21 In  Cloth Velcro","code_information":[{"code":"50279","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50279","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":208,"gross_charge":227,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":208},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":100}]}]},{"description":"Calcitonin(miacalcin)nasal Spray:2ml Btl","code_information":[{"code":"303148-GY","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3490","type":"HCPCS","modifier":"GY"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GY"],"minimum":47,"maximum":207,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vein Stripper Sterile Disp","code_information":[{"code":"49677","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49677","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":207,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Screw T15 Lp Cort 3.5mm X 14mm Ns","code_information":[{"code":"53139","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53139","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":207,"gross_charge":226,"discounted_cash":170,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":207},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hep B Virus Dna Qnt Pcrquest","code_information":[{"code":"750076","type":"CDM"},{"code":"300","type":"RC"},{"code":"87517","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hep C Virus Rna/pcr Quant Quest","code_information":[{"code":"750077","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics; Dna Probe, Each","code_information":[{"code":"750449","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Chromosomal In Situ Hybridization","code_information":[{"code":"750500","type":"CDM"},{"code":"310","type":"RC"},{"code":"88273","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics; Dna Probe, Each","code_information":[{"code":"750613","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics: Dna Probe, Each","code_information":[{"code":"750643","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Insulin Antibodies","code_information":[{"code":"751089","type":"CDM"},{"code":"300","type":"RC"},{"code":"86337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hep C Viral Rna Qnt W/ Rflx To Genotype","code_information":[{"code":"751563","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hep C Viral Rna Genotypequest","code_information":[{"code":"751564","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Hep C Viral Load Rna Qnt Pcr Quest","code_information":[{"code":"751581","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Bk Virus Dna Qnt Pcrquest","code_information":[{"code":"751638","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Adenovirus Dna Qnt Pcrquest","code_information":[{"code":"751648","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Epstein Barr Virus Dna Qnt Pcrquest","code_information":[{"code":"751853","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics; Dna Probe, Each","code_information":[{"code":"751870","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Cytogenetics, 10-30","code_information":[{"code":"751871","type":"CDM"},{"code":"310","type":"RC"},{"code":"88273","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Insulin Antibodies","code_information":[{"code":"752028","type":"CDM"},{"code":"300","type":"RC"},{"code":"86337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Cytomegalovirus Dna Qnt Pcrquest","code_information":[{"code":"752058","type":"CDM"},{"code":"300","type":"RC"},{"code":"87497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Parvovirus B19 Dna Qntquest","code_information":[{"code":"752118","type":"CDM"},{"code":"300","type":"RC"},{"code":"87799","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics; Dna Probe, Each","code_information":[{"code":"757080","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Hepatitis C Viral Rna, Qnt, Real-time","code_information":[{"code":"757345","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Molecular Cytogenetics; Dna Probe, Each","code_information":[{"code":"758145","type":"CDM"},{"code":"300","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"758176","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":".Hepatitis C Quant Includes Reverse Tran","code_information":[{"code":"758551","type":"CDM"},{"code":"300","type":"RC"},{"code":"87522","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Amoxicillin/clav Oral Sus 250mg/5ml 75ml","code_information":[{"code":"300159","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651002675","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Tray Inf.port Needle 20g 3/4  W/y-site","code_information":[{"code":"52190","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52190","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Tray Inf.port Needle 20g 1  W/y-site","code_information":[{"code":"52191","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52191","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Tray Inf.port Needle 20g 1.5  W/y-site","code_information":[{"code":"52219","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Splint Spring Finger Extension 4 (D)","code_information":[{"code":"49351","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Nutr Travasorb Heptatic Straw.   (B4154)","code_information":[{"code":"49806","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49806","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Timolol 0.5% Ophth Soln: 5 Ml","code_information":[{"code":"302812","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302812","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":47,"maximum":206,"gross_charge":225,"discounted_cash":169,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":206},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Initl Obsv Care,3 Key Components:detail/","code_information":[{"code":"CP17585600566675018","type":"CDM"},{"code":"521","type":"RC"},{"code":"99218","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Bi-pap Pressure Valve Disp.","code_information":[{"code":"60372","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60372","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Stein.pin Thrdd 2.8mm(7/64 )X229mm(9 )","code_information":[{"code":"48484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Screw Canc.4.0mm Part Thrd 14mm","code_information":[{"code":"48602","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48602","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Screw Canc.4.0mm Part Thrd 16mm","code_information":[{"code":"48603","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Screw Canc.4.0mm Part Thrd 24mm","code_information":[{"code":"48607","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48607","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":205,"gross_charge":224,"discounted_cash":168,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":205},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":99}]}]},{"description":"Screw Cort.2.7mm Self Tapping 28mm","code_information":[{"code":"51032","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":204,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Screw Cort.2.7mm Self Tapping 30mm","code_information":[{"code":"51033","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":204,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Screw Cort.2.7mm Self Tapping 32mm","code_information":[{"code":"51034","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP51034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":204,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Itraconazolequest","code_information":[{"code":"758347","type":"CDM"},{"code":"300","type":"RC"},{"code":"80189","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":204,"gross_charge":223,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":204},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Cath Radial Artery 20g 1-1/2       A4300","code_information":[{"code":"50177","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Cath Radial Artery 20g 1-3/4","code_information":[{"code":"52260","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Trigeminal Nerve Block","code_information":[{"code":"CP17585600566720943","type":"CDM"},{"code":"521","type":"RC"},{"code":"64405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":".Quantification Of Lipoprotein Particle","code_information":[{"code":"751781","type":"CDM"},{"code":"300","type":"RC"},{"code":"83704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Lipoprotein Fractionation Nmrquest","code_information":[{"code":"757234","type":"CDM"},{"code":"300","type":"RC"},{"code":"83704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":".Lipoprotein, Quant Of Particle Numbers,","code_information":[{"code":"757303","type":"CDM"},{"code":"300","type":"RC"},{"code":"83704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":203,"gross_charge":222,"discounted_cash":167,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":203},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":98}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 18mm","code_information":[{"code":"48584","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48584","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 20mm","code_information":[{"code":"48585","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48585","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 22mm","code_information":[{"code":"48586","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48586","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Dhs 4.5mm  50mm Self-tapping","code_information":[{"code":"48323","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Dhs 4.5mm  52mm Self-tapping","code_information":[{"code":"48324","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Screw Dhs 4.5mm  54mm Self-tapping","code_information":[{"code":"48325","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Cath Foley Irr 30cc 26fr        *Latex*","code_information":[{"code":"49073","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Cath Umbilical 8fr","code_information":[{"code":"49352","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49352","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Cath Umbilical 5fr","code_information":[{"code":"49396","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Stapler Skin  35w Wide","code_information":[{"code":"49397","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Stapler Skin  35r Regular","code_information":[{"code":"52124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":46,"maximum":202,"gross_charge":221,"discounted_cash":166,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":202},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Avulsion, Nail Plate, Partial/complete,","code_information":[{"code":"CP17585600566592311","type":"CDM"},{"code":"521","type":"RC"},{"code":"11730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"69100 Bx External Ear","code_information":[{"code":"CP17585603283906933","type":"CDM"},{"code":"510","type":"RC"},{"code":"69100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":".Assay Of Phenytoin; Total","code_information":[{"code":"757321","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Tray Lumbar Puncture Adult","code_information":[{"code":"49365","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49365","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Blood/fluid Warmimg Set Standard Flow","code_information":[{"code":"50153","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Blood/fluid Warmimg Set High Flow","code_information":[{"code":"50329","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":201,"gross_charge":220,"discounted_cash":165,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":201},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":97}]}]},{"description":"Tiotropium Respimat Inh. 2.5mcg","code_information":[{"code":"309328","type":"CDM"},{"code":"637","type":"RC"},{"code":"59701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Wound Gel 3oz.","code_information":[{"code":"49505","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Raltegravir Tab 400mg","code_information":[{"code":"308235-61","type":"CDM"},{"code":"637","type":"RC"},{"code":"60227","type":"CPT","modifier":"61"}],"standard_charges":[{"setting":"outpatient","modifier_code":["61"],"minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Raltegravir Tab 400mg","code_information":[{"code":"308235","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308235","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ca 19-9  Quest","code_information":[{"code":"75198","type":"CDM"},{"code":"300","type":"RC"},{"code":"86301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Ca 125quest","code_information":[{"code":"75233","type":"CDM"},{"code":"300","type":"RC"},{"code":"86304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Ca 15-3quest","code_information":[{"code":"75243","type":"CDM"},{"code":"300","type":"RC"},{"code":"86300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"C-peptidequest","code_information":[{"code":"75630","type":"CDM"},{"code":"300","type":"RC"},{"code":"84681","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Ca 27.29quest","code_information":[{"code":"750071","type":"CDM"},{"code":"300","type":"RC"},{"code":"86300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Chromogranin Aquest V04/21/21","code_information":[{"code":"751194","type":"CDM"},{"code":"300","type":"RC"},{"code":"86316","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Chromogranin Alc/ms/msquest","code_information":[{"code":"758373","type":"CDM"},{"code":"300","type":"RC"},{"code":"86316","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":200,"gross_charge":219,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":200},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"K-wire 0.90mm(0.035 )X229mm(9 ) Pt#1 Thr","code_information":[{"code":"48736","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48736","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"K-wire 1.60mm(0.062 )X229mm(9 ) Pt#1 Thr","code_information":[{"code":"48737","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48737","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Screw Canc.4.0mm Part Thrd 45mm","code_information":[{"code":"48613","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 18mm","code_information":[{"code":"48622","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Ostomy Pouch/wafer 1-3/8  Convex","code_information":[{"code":"52147","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Tray Amniocentesis","code_information":[{"code":"49531","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49531","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Tube Feeding W/bolus 12fr 43     (B4081)","code_information":[{"code":"50220","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Hx & Exam, Normal Newborn, Initial","code_information":[{"code":"CP17585600566662331","type":"CDM"},{"code":"521","type":"RC"},{"code":"99460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585600566711766","type":"CDM"},{"code":"521","type":"RC"},{"code":"11305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Shaving Skin Lesion, Scalp/neck/hands/fe","code_information":[{"code":"CP17585603283958530","type":"CDM"},{"code":"510","type":"RC"},{"code":"11305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Serotoninquest","code_information":[{"code":"75406","type":"CDM"},{"code":"300","type":"RC"},{"code":"84260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Pregnenolonequest","code_information":[{"code":"750708","type":"CDM"},{"code":"300","type":"RC"},{"code":"84140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Parathormone","code_information":[{"code":"751178","type":"CDM"},{"code":"300","type":"RC"},{"code":"83970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Parathyroid Hormone","code_information":[{"code":"751289","type":"CDM"},{"code":"300","type":"RC"},{"code":"83970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Parathormone (Parathyroid Hormone)","code_information":[{"code":"757105","type":"CDM"},{"code":"300","type":"RC"},{"code":"83970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Pth Intact Without Calciumquest","code_information":[{"code":"757316","type":"CDM"},{"code":"300","type":"RC"},{"code":"83970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Pregnenolone","code_information":[{"code":"758564","type":"CDM"},{"code":"300","type":"RC"},{"code":"84140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Anaplasma Amplified Probe","code_information":[{"code":"758861","type":"CDM"},{"code":"300","type":"RC"},{"code":"87468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Babesia Microti Amplified Probe Techniq","code_information":[{"code":"758862","type":"CDM"},{"code":"300","type":"RC"},{"code":"87469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Borrelia Miyamotoi Amplified Probe Tech","code_information":[{"code":"758863","type":"CDM"},{"code":"300","type":"RC"},{"code":"87478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":".Ehrlichia Chaffeensis Amplified Probe T","code_information":[{"code":"758864","type":"CDM"},{"code":"300","type":"RC"},{"code":"87484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":218,"discounted_cash":164,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":96}]}]},{"description":"Knee Immobilizer 24   3 Panel Splint","code_information":[{"code":"50076","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":199,"gross_charge":217,"discounted_cash":163,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":199},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Ot Self Care/adl's","code_information":[{"code":"55248-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97535","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":45,"maximum":198,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"K-wire .045x6 Dbltro 6pk Ns","code_information":[{"code":"53055","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":198,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"T-tube Cattell 22 Fr","code_information":[{"code":"49738","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49738","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":198,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":".Plt Func:collagen/adp","code_information":[{"code":"751513","type":"CDM"},{"code":"300","type":"RC"},{"code":"85576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":198,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":".Plt Function With Collagen/epi","code_information":[{"code":"758586","type":"CDM"},{"code":"300","type":"RC"},{"code":"85576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":45,"maximum":198,"gross_charge":216,"discounted_cash":162,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":198},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Dress Lyofoam Polyur.foam 8 X6 A6210","code_information":[{"code":"50398","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6210","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Dressing Foam Polymem 3x3","code_information":[{"code":"52336","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6210","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Dressing Fibracol Plus 4inx4.375in","code_information":[{"code":"52337","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6210","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Annual Rest Home Eval, 3 Key Components;","code_information":[{"code":"CP17585600566599629","type":"CDM"},{"code":"522","type":"RC"},{"code":"99318","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566717436","type":"CDM"},{"code":"521","type":"RC"},{"code":"99396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Airway Lma #2.5 Dispchild","code_information":[{"code":"52004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Ot Therapeutic Activities","code_information":[{"code":"55254-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97530","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Pt Therapeutic Activities","code_information":[{"code":"55291-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97530","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Aldosterone (Lc/ms/ms)quest","code_information":[{"code":"75142","type":"CDM"},{"code":"300","type":"RC"},{"code":"82088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Aldosterone-urine","code_information":[{"code":"751067","type":"CDM"},{"code":"300","type":"RC"},{"code":"82088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":".Aldosterone","code_information":[{"code":"751434","type":"CDM"},{"code":"300","type":"RC"},{"code":"82088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Cath Foley Irr 30cc 24fr        *Latex*","code_information":[{"code":"49072","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49072","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":".Cytogenetics Dna Probe","code_information":[{"code":"758599","type":"CDM"},{"code":"300","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Dress Hydrofiber-ag Rope Aquacel","code_information":[{"code":"52223","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":197,"gross_charge":215,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":197},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":95}]}]},{"description":"Rest Home Visit, Est Pt 2+ Key Component","code_information":[{"code":"CP17585600566712069","type":"CDM"},{"code":"522","type":"RC"},{"code":"99335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Complement Total (Ch50)quest","code_information":[{"code":"75297","type":"CDM"},{"code":"300","type":"RC"},{"code":"86162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Flow Cytometry, Technical Compenent Onl","code_information":[{"code":"758142","type":"CDM"},{"code":"300","type":"RC"},{"code":"88184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Each Additional Marker (Addition To Cod","code_information":[{"code":"758143","type":"CDM"},{"code":"300","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw Chs 4.55mm 16mm Self-tapping","code_information":[{"code":"48306","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48306","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw Chs 4.55mm 18mm Self-tapping","code_information":[{"code":"48307","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw Chs 4.55mm 20mm Self-tapping","code_information":[{"code":"48308","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48308","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw Chs 4.55mm 22mm Self-tapping","code_information":[{"code":"48309","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48309","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Screw Chs 4.55mm 24mm Self-tapping","code_information":[{"code":"48310","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":196,"gross_charge":214,"discounted_cash":161,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":196},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Transfusion Set Neonatal 30cc Syr.w/fil","code_information":[{"code":"49601","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49601","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Buck's Traction Small","code_information":[{"code":"50088","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Initial Preventive Medicine E&m W/ Compr","code_information":[{"code":"CP17585600566679150","type":"CDM"},{"code":"521","type":"RC"},{"code":"99382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Initial Preventive Medicine E&m W/ Compr","code_information":[{"code":"CP17585600566672423","type":"CDM"},{"code":"521","type":"RC"},{"code":"99383","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"29065 App Long Arm Cast(should To Hand","code_information":[{"code":"CP17585603283883773","type":"CDM"},{"code":"510","type":"RC"},{"code":"29065","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":".Isovue Locm","code_information":[{"code":"39627","type":"CDM"},{"code":"255","type":"RC"},{"code":"Q9967","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Removal Fb Corneal W/o Slit Lamp Bilat","code_information":[{"code":"65936-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"65220","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Vitamin B2 (Riboflavin)quest","code_information":[{"code":"751110","type":"CDM"},{"code":"300","type":"RC"},{"code":"84252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":195,"gross_charge":213,"discounted_cash":160,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":195},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":94}]}]},{"description":"Irrig Set Tury","code_information":[{"code":"53102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":194,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"K-wire 2.50mm X 150mm Threaded (Ex.fix.)","code_information":[{"code":"48126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":194,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Knee Immobilizer 20  X-large","code_information":[{"code":"50080","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":194,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Dress Retention Tape 4  Hypafix","code_information":[{"code":"50160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":194,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Phenylephrine 10% Opth. Soln. 5ml","code_information":[{"code":"309323","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756061430","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":44,"maximum":194,"gross_charge":212,"discounted_cash":159,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":194},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Dress Hydrofiber-ag 3/4x18 Aquacel-ag","code_information":[{"code":"52014","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6199","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"11300 Shave Lesion Tal 0.5cm Or Less","code_information":[{"code":"CP17585600566581799","type":"CDM"},{"code":"521","type":"RC"},{"code":"11300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"11300 Shave Lesion Tal 0.5cm Or Less","code_information":[{"code":"CP17585603283830841","type":"CDM"},{"code":"510","type":"RC"},{"code":"11300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"30901 Control Ant Nasal Hemorrhage","code_information":[{"code":"CP17585603283893129","type":"CDM"},{"code":"510","type":"RC"},{"code":"30901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Application Of Hand And Lower Forarm Cast","code_information":[{"code":"CP17585603283907503","type":"CDM"},{"code":"510","type":"RC"},{"code":"29085","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Phlebotomy Therapeutic","code_information":[{"code":"35166","type":"CDM"},{"code":"940","type":"RC"},{"code":"99195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Cytogenetics, 100-300","code_information":[{"code":"750170","type":"CDM"},{"code":"310","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Cytogenetics, 100-300","code_information":[{"code":"750894","type":"CDM"},{"code":"310","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Interphase In Situ Hybridization, Analy","code_information":[{"code":"757081","type":"CDM"},{"code":"310","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Cytogenetics, 100-300","code_information":[{"code":"758146","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Immunofluorescence, Per Specimen; Initi","code_information":[{"code":"758182","type":"CDM"},{"code":"319","type":"RC"},{"code":"88346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":".Rhinovirus Rt-pcr","code_information":[{"code":"758304","type":"CDM"},{"code":"300","type":"RC"},{"code":"87797","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Cath Foley  3cc 10fr             *Latex*","code_information":[{"code":"49126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Splint Thumb Support(right)","code_information":[{"code":"49980","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":44,"maximum":193,"gross_charge":211,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":193},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":93}]}]},{"description":"Cautery Pencil Hi Temp Disposable","code_information":[{"code":"49634","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Airway Lma #3 Disp Child Unique","code_information":[{"code":"50124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Airway Lma #4 Disp Avg/large Adult Uniqu","code_information":[{"code":"50125","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50125","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Airway Lma #5 Disp Lrg/x-lrg Adult Uniqu","code_information":[{"code":"50126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Irrig Varicare Wound Tip","code_information":[{"code":"50272","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50272","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Removal, Intrauterine Device","code_information":[{"code":"CP17585600566711891","type":"CDM"},{"code":"521","type":"RC"},{"code":"58301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Rotavirus Vaccine, Rotarix","code_information":[{"code":"CP17585600566711032","type":"CDM"},{"code":"521","type":"RC"},{"code":"90681","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"K-wire 2.5mm X 285mm","code_information":[{"code":"50533","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50533","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Airway Lma #1 Disposable Neonate","code_information":[{"code":"52110","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Airway Lma #1.5 Disposable Infant","code_information":[{"code":"52111","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":192,"gross_charge":210,"discounted_cash":158,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":192},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Smooth Lock Peg 1.5mm X 10mm","code_information":[{"code":"53040","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Smooth Lock Peg 1.5mm X 11mm","code_information":[{"code":"53041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Smooth Lock Peg 1.5mm X 12mm","code_information":[{"code":"53042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Smooth Lock Peg 1.5mm X 14mm","code_information":[{"code":"53043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Smooth Lock Peg 1.5mm X 15mm","code_information":[{"code":"53044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Stein.pin Thrdd 4.8mm(3/16 )X229mm(9 )","code_information":[{"code":"48480","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48480","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Stein.pin Thrdd 3.6mm(9/64 )X229mm(9 )","code_information":[{"code":"48482","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Pt Neuro Re-education","code_information":[{"code":"55245-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97112","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Ot Neuro Re-education","code_information":[{"code":"55250-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97112","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Islet Cell Ab Scrn W/ Rflx Titerquest","code_information":[{"code":"751112","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Islet Cell Antibody","code_information":[{"code":"751216","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Gad-65 Autoantibodyquest","code_information":[{"code":"751305","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Islet Cell Ab Titer","code_information":[{"code":"751784","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Islet Cell Ab Titer","code_information":[{"code":"751785","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Islet Cell Antibody","code_information":[{"code":"752029","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Gad65 Antibody Assay","code_information":[{"code":"752080","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":".Islet Cell Antibody","code_information":[{"code":"758236","type":"CDM"},{"code":"300","type":"RC"},{"code":"86341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":191,"gross_charge":209,"discounted_cash":157,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":191},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Arm Elevator Medium","code_information":[{"code":"49110","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Vent Circuit Mdl 760 Pedi","code_information":[{"code":"60188","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Aminophylline Vial 250mg/10ml","code_information":[{"code":"304789","type":"CDM"},{"code":"636","type":"RC"},{"code":"40959","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Aplisol Vial 5tu/0.1ml","code_information":[{"code":"301402","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023010401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"ML"}},{"description":"Bupivacaine 0.25% W/epinephrine 30ml","code_information":[{"code":"303331","type":"CDM"},{"code":"250","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Calcium Gluconate Premix 1000mg/50ml","code_information":[{"code":"310490","type":"CDM"},{"code":"250","type":"RC"},{"code":"80830236201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Calcium Gluconate Vial 1000mg/10ml","code_information":[{"code":"300265","type":"CDM"},{"code":"250","type":"RC"},{"code":"80830167202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Dextrose 25% Infant Syringe 2.5gm/10ml","code_information":[{"code":"304856","type":"CDM"},{"code":"250","type":"RC"},{"code":"40917","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Lidocaine 2% Urojet 400mg/20ml","code_information":[{"code":"303248","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329301505","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Stein.pin Thrdd 4.0mm(5/32 )X229mm(9 )","code_information":[{"code":"48481","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48481","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Stein.pin Thrdd 2.4mm(3/32 )X229mm(9 )","code_information":[{"code":"48485","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Stein.pin Thrdd 2.0mm(5/64 )X229mm(9 )","code_information":[{"code":"48486","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Dress Hydrocolloid 8x8 Duoderm     A6236","code_information":[{"code":"49470","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6236","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Colonoscope Cytology Brush Adult","code_information":[{"code":"49834","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}]},{"description":"Morphine Sulf Inj: 50mg/ml 20 Ml Vial","code_information":[{"code":"304173","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Sulf Inj:25mg/ml 4ml Adv Vial","code_information":[{"code":"304182","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304182","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pca Hydromorphone Drip 50mg/50ml Ns","code_information":[{"code":"304468","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304468","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dexamethasone Inj: 10 Mg/10ml","code_information":[{"code":"304503","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1100","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Furosemide (Lasix) Inj:20 Mg/2ml 3ml Syr","code_information":[{"code":"304828","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diltiazem Inj 100mg Addvantage Vial","code_information":[{"code":"306690","type":"CDM"},{"code":"250","type":"RC"},{"code":"J3490","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Digoxin Amp 500mcg/2ml","code_information":[{"code":"300528","type":"CDM"},{"code":"250","type":"RC"},{"code":"78130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Hydralazine Vial 20mg/ml","code_information":[{"code":"300108","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323061400","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Mineral Oil Sterile 10ml Vial","code_information":[{"code":"312405","type":"CDM"},{"code":"637","type":"RC"},{"code":"63323025410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Propofol Drip 1000mg/100ml","code_information":[{"code":"303347","type":"CDM"},{"code":"250","type":"RC"},{"code":"40946","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Hydromorphone Vial 50mg/5ml","code_information":[{"code":"304332","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":190,"gross_charge":208,"discounted_cash":156,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":190},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":92}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Menactra","code_information":[{"code":"CP17585600566688046","type":"CDM"},{"code":"521","type":"RC"},{"code":"90734","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Vitamin D 25-hydroxy Total","code_information":[{"code":"351157","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Histamine 24h Urquest","code_information":[{"code":"750906","type":"CDM"},{"code":"300","type":"RC"},{"code":"83088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Vitamin D (D2,d3) 25-hydroxyquest","code_information":[{"code":"751287","type":"CDM"},{"code":"300","type":"RC"},{"code":"82306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Clindamycin 900mg-d5w 50ml Ivpb:premix","code_information":[{"code":"304085","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Screw Ss Canc.4.0mm Full Thrd 14mm","code_information":[{"code":"48620","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 16mm","code_information":[{"code":"48621","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 20mm","code_information":[{"code":"48623","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 22mm","code_information":[{"code":"48624","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 24mm","code_information":[{"code":"48625","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48625","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 26mm","code_information":[{"code":"48626","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48626","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 10mm","code_information":[{"code":"52663","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 12mm","code_information":[{"code":"52664","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52664","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 18mm","code_information":[{"code":"52665","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52665","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 28mm","code_information":[{"code":"52666","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52666","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 30mm","code_information":[{"code":"52667","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52667","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 32mm","code_information":[{"code":"52668","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 34mm","code_information":[{"code":"52669","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52669","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 36mm","code_information":[{"code":"52670","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52670","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 38mm","code_information":[{"code":"52671","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52671","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 40mm","code_information":[{"code":"52672","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52672","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Ortho Cement Canal Brush","code_information":[{"code":"48944","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48944","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Tray Basic Biopsy","code_information":[{"code":"49358","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49358","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Opt Knife Full Handle 5.7mm Blade 22.5o","code_information":[{"code":"49859","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49859","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Knee Immobilizer 16  Medium","code_information":[{"code":"50078","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Knee Immobilizer 16   3 Panel Splint","code_information":[{"code":"50079","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Knee Immobilizer 16  Xlarge","code_information":[{"code":"50267","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":189,"gross_charge":207,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":189},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Hepatitis B Virus Dna Rflx Genotypequ","code_information":[{"code":"758764","type":"CDM"},{"code":"300","type":"RC"},{"code":"87517","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Spike Drainage Evacuated  1000ml","code_information":[{"code":"52826","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52826","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Nursing Facility Care, 3 Key Components:","code_information":[{"code":"CP17585600566683094","type":"CDM"},{"code":"521","type":"RC"},{"code":"99304","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Androstenedionequest","code_information":[{"code":"75490","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Hirsutism Panel 2 (Androstenedione)","code_information":[{"code":"75659","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Enhanced Shell Vial Tec.","code_information":[{"code":"750784","type":"CDM"},{"code":"300","type":"RC"},{"code":"87254","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Immunofixation, Urine","code_information":[{"code":"750971","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Lactoferrin Quantitative Stoolquest","code_information":[{"code":"750987","type":"CDM"},{"code":"300","type":"RC"},{"code":"83631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Immunofixation Urine (24h Or Random)","code_information":[{"code":"751368","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Culture, Chlamydia, Any Source","code_information":[{"code":"751664","type":"CDM"},{"code":"300","type":"RC"},{"code":"87110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Androstenedione","code_information":[{"code":"751746","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Androstenedione","code_information":[{"code":"751757","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Assay Of Androstenedione","code_information":[{"code":"752012","type":"CDM"},{"code":"300","type":"RC"},{"code":"82157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Immunofixation, Other Fluids","code_information":[{"code":"752037","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"Calprotectin Stoolquest","code_information":[{"code":"757075","type":"CDM"},{"code":"300","type":"RC"},{"code":"83993","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Shell Viral Technique Each Virus","code_information":[{"code":"758260","type":"CDM"},{"code":"300","type":"RC"},{"code":"87254","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":".Immunofixation Other Fluids","code_information":[{"code":"758267","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":43,"maximum":188,"gross_charge":206,"discounted_cash":155,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":91}]}]},{"description":"E-surg Lletz/leep Ball Electrode 5mm","code_information":[{"code":"52067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Atropine Sulf 1% Ophth. 2ml","code_information":[{"code":"300148","type":"CDM"},{"code":"250","type":"RC"},{"code":"60219174802","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585600566721736","type":"CDM"},{"code":"521","type":"RC"},{"code":"99309","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585603283959177","type":"CDM"},{"code":"510","type":"RC"},{"code":"99309","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Group I Stain","code_information":[{"code":"22014","type":"CDM"},{"code":"310","type":"RC"},{"code":"88312","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Cell Block Process  Dahl-chase","code_information":[{"code":"75015","type":"CDM"},{"code":"300","type":"RC"},{"code":"88305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Hpvfemale (Pathology)","code_information":[{"code":"75096","type":"CDM"},{"code":"300","type":"RC"},{"code":"89240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Citrullinated Peptide Igg -Quest","code_information":[{"code":"750747","type":"CDM"},{"code":"300","type":"RC"},{"code":"86200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Path. Consult W/o Rev Pmr","code_information":[{"code":"751429","type":"CDM"},{"code":"310","type":"RC"},{"code":"85576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Anemia Evaluation: Pathology Consult","code_information":[{"code":"757289","type":"CDM"},{"code":"310","type":"RC"},{"code":"85576","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Suction Cath Vent 14fr (Ballard Suction)","code_information":[{"code":"49820","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Cath Femoral Artery 18g X 4.25     A4300","code_information":[{"code":"50242","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50242","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":188,"gross_charge":205,"discounted_cash":154,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":188},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Oseltamivir Oral Susp. 6mg/ml 60ml","code_information":[{"code":"312319","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180067801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Cast Padding Webril Sterile 3 X4yd","code_information":[{"code":"52880","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Urine Meter                        A4357","code_information":[{"code":"49348","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49348","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Splint Wrist Support Right Large","code_information":[{"code":"49752","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Splint Wrist Support Right Small","code_information":[{"code":"49823","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Needle Nerve Stim 22gx3-1/8  30deg Bevel","code_information":[{"code":"50390","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50390","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Echogenic Non-insulated Needle 21g 31/8","code_information":[{"code":"52379","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Echogenic Non-insulated Needle 21g 6","code_information":[{"code":"52380","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Echogenic Non-insulated Needle 21g 4","code_information":[{"code":"52426","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52426","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Tuohy Epidural Needle 20g 6","code_information":[{"code":"52428","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52428","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Tuohyl Needle 22g 2","code_information":[{"code":"52429","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Echogenic Non-insulated Needle 20g 4","code_information":[{"code":"53204","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Dress Hydrocolloid 7.5x7.8 Duoderm Heel","code_information":[{"code":"52062","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Phosphatidylethanol (Peth) Bloodquest","code_information":[{"code":"758854","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Initial Per Day Em Normal Newborn","code_information":[{"code":"CP17585600566671456","type":"CDM"},{"code":"521","type":"RC"},{"code":"99461","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Abgarterial Puncture","code_information":[{"code":"60145","type":"CDM"},{"code":"761","type":"RC"},{"code":"36600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Arterial Puncture For Diagnosis","code_information":[{"code":"65370","type":"CDM"},{"code":"450","type":"RC"},{"code":"36600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Prolactinquest","code_information":[{"code":"75178","type":"CDM"},{"code":"300","type":"RC"},{"code":"84146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Acth (Adrenocorticotropic Hormone)","code_information":[{"code":"75287","type":"CDM"},{"code":"300","type":"RC"},{"code":"82024","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Acthquest","code_information":[{"code":"75382","type":"CDM"},{"code":"300","type":"RC"},{"code":"82024","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Hsv Type 2","code_information":[{"code":"75700","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Typhus Fever         Quest","code_information":[{"code":"75818","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Istat Abg Arterial Blood Gas","code_information":[{"code":"350112","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Istat Vbg Venous Blood Gas","code_information":[{"code":"350121","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Abgarterial Blood Gas","code_information":[{"code":"351119","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Capillary Blood Gas","code_information":[{"code":"351120","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Vbgvenous Blood Gas","code_information":[{"code":"351124","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Abgcord Blood","code_information":[{"code":"351127","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Rickettsia","code_information":[{"code":"751402","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Factor Xii Activity Clotting Quest","code_information":[{"code":"751868","type":"CDM"},{"code":"300","type":"RC"},{"code":"85280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Antibody; Herpes Simplex Type 2","code_information":[{"code":"752043","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"24h Ur Hvaquest","code_information":[{"code":"757233","type":"CDM"},{"code":"300","type":"RC"},{"code":"83150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Assay Of Prolactin","code_information":[{"code":"757333","type":"CDM"},{"code":"300","type":"RC"},{"code":"84146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":".Antibody; Herpes Simplex Virus, Type 2","code_information":[{"code":"758231","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":187,"gross_charge":204,"discounted_cash":153,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":187},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":90}]}]},{"description":"Vancomycin 1500mg/300ml Ns Ivpb Premix","code_information":[{"code":"312207","type":"CDM"},{"code":"250","type":"RC"},{"code":"70594004301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}],"drug_information":{"unit":1500,"type":"ME"}},{"description":"Screw Cort.4.5mm 34mm","code_information":[{"code":"48780","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Cort.4.5mm 36mm","code_information":[{"code":"48781","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Cort.4.5mm 46mm","code_information":[{"code":"48786","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Bilateral Mulitlayered Unna Boot","code_information":[{"code":"CP17585600566600426-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"29581","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Bilateral Mulitlayered Unna Boot","code_information":[{"code":"CP17585603283919194-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"29581","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Chs 4.55mm 26mm Self-tapping","code_information":[{"code":"48311","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48311","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Chs 4.55mm 58mm Self-tapping","code_information":[{"code":"48327","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48327","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Chs 4.55mm 60mm Self-tapping","code_information":[{"code":"48328","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Chs 4.55mm 62mm Self-tapping","code_information":[{"code":"48329","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Chs 4.55mm 64mm Self-tapping","code_information":[{"code":"48330","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"T-tube Deaver 24 Fr","code_information":[{"code":"49611","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"T-tube Deaver  8 Fr","code_information":[{"code":"49658","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49658","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"T-tube Deaver 20 Fr","code_information":[{"code":"49831","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49831","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Buck's Traction Medium","code_information":[{"code":"49931","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Buck's Traction Large","code_information":[{"code":"50089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Bandage Gelocast 4  Unna's Boot","code_information":[{"code":"50175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Lap Suture Endoloop Chromic 0 El10g","code_information":[{"code":"50219","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":186,"gross_charge":203,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":186},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Aspiration,injection With Ultrasound Guidance","code_information":[{"code":"CP17585600566592070","type":"CDM"},{"code":"490","type":"RC"},{"code":"20611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Aspiration,injection With Ultrasound Guidance","code_information":[{"code":"CP17585603283907427","type":"CDM"},{"code":"510","type":"RC"},{"code":"20611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Coude Inserted","code_information":[{"code":"65480","type":"CDM"},{"code":"450","type":"RC"},{"code":"51703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Vitamin D 1 25 Dihydroxyquest","code_information":[{"code":"751733","type":"CDM"},{"code":"300","type":"RC"},{"code":"82652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Arm Elevator Small","code_information":[{"code":"49426","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49426","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":".Hepatitis B Virus","code_information":[{"code":"758765","type":"CDM"},{"code":"300","type":"RC"},{"code":"87912","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":185,"gross_charge":202,"discounted_cash":152,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":185},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":89}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 26mm","code_information":[{"code":"48588","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Cytogenetics 100-300","code_information":[{"code":"758600","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Interphase In Situ Hybridization, Analy","code_information":[{"code":"798410","type":"CDM"},{"code":"300","type":"RC"},{"code":"88275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"2061050 Drain/inject Joint/bursa Majorbilateral","code_information":[{"code":"CP17585600566593313-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"20610","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"2061050 Drain/inject Joint/bursa Majorbilateral","code_information":[{"code":"CP17585603283848435-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20610","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Application Of Long Arm Splint","code_information":[{"code":"65351","type":"CDM"},{"code":"450","type":"RC"},{"code":"29105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Application Of Long Leg Splint","code_information":[{"code":"65354","type":"CDM"},{"code":"450","type":"RC"},{"code":"29505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Application Of Short Leg Splint","code_information":[{"code":"65355","type":"CDM"},{"code":"450","type":"RC"},{"code":"29515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Strapping Of Ankle/foot","code_information":[{"code":"65356","type":"CDM"},{"code":"450","type":"RC"},{"code":"29540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Rib Belt","code_information":[{"code":"65452","type":"CDM"},{"code":"450","type":"RC"},{"code":"29200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Unna Boot","code_information":[{"code":"65458","type":"CDM"},{"code":"450","type":"RC"},{"code":"29580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Vasoactive Intestinal Peptidequest","code_information":[{"code":"750584","type":"CDM"},{"code":"300","type":"RC"},{"code":"84586","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Flow Cytometry, Interpretation; 2 To 8","code_information":[{"code":"752050","type":"CDM"},{"code":"311","type":"RC"},{"code":"88187","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":42,"maximum":184,"gross_charge":201,"discounted_cash":151,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":184},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Skin Graft Carrier 3:1","code_information":[{"code":"49525","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49525","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Skin Graft Carrier 1.5:1","code_information":[{"code":"49526","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49526","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Tube Feeding W/bolus 8fr 36    (B4081)","code_information":[{"code":"49643","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"55074-GO","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Physical therapy, therapeutic exercise","code_information":[{"code":"55295-GP","type":"CDM"},{"code":"429","type":"RC"},{"code":"97110","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Pt Phys Performance Test Or Measurement","code_information":[{"code":"55464","type":"CDM"},{"code":"420","type":"RC"},{"code":"97750","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Carcinembryonic Antigenquest","code_information":[{"code":"75014","type":"CDM"},{"code":"300","type":"RC"},{"code":"82378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Heavy Metalsblood (Arsenic)","code_information":[{"code":"75216","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Arsenic Blood  Quest","code_information":[{"code":"75904","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"In Situ Hybridization (Eg Fish)each Pr","code_information":[{"code":"751237","type":"CDM"},{"code":"300","type":"RC"},{"code":"88365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".In Situ Hyberdization, Each Probe","code_information":[{"code":"751496","type":"CDM"},{"code":"300","type":"RC"},{"code":"88365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Arsenic","code_information":[{"code":"751503","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":".Arsenic Fractionation 24hr Urinedisc","code_information":[{"code":"757308","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Cea (Peritoneal Fluid)quest","code_information":[{"code":"758032","type":"CDM"},{"code":"300","type":"RC"},{"code":"82378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":183,"gross_charge":200,"discounted_cash":150,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":183},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Blanket Bair Hugger Upper Extremity","code_information":[{"code":"49067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":182,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Blood Fluid Warming Set","code_information":[{"code":"49429","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":182,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Dress Hydrocolloid 6x8 Duoderm     A6235","code_information":[{"code":"49471","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":182,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Knee Immobilizer 12   3 Panel Splint","code_information":[{"code":"52985","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":182,"gross_charge":199,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":182},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":88}]}]},{"description":"Initial Preventive Medicine E&m W/ Compr","code_information":[{"code":"CP17585600566675081","type":"CDM"},{"code":"521","type":"RC"},{"code":"99381","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":181,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566711283","type":"CDM"},{"code":"521","type":"RC"},{"code":"99395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":181,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Erythropoietinquest","code_information":[{"code":"75329","type":"CDM"},{"code":"300","type":"RC"},{"code":"82668","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":181,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Cath Subclavian 16gx12","code_information":[{"code":"49195","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49195","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":181,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Clearcut Sideport 1.0 Angled Paracentesi","code_information":[{"code":"52461","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52461","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":181,"gross_charge":198,"discounted_cash":149,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":181},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Needle Nerve Stim 22gx4-3/4  15deg Bevel","code_information":[{"code":"52164","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52164","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":180,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Lysozymequest","code_information":[{"code":"751022","type":"CDM"},{"code":"300","type":"RC"},{"code":"85549","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":180,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Morphometric Analysis      Dcpa","code_information":[{"code":"751650","type":"CDM"},{"code":"310","type":"RC"},{"code":"88360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":180,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Arm Elevator Large","code_information":[{"code":"49111","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":180,"gross_charge":197,"discounted_cash":148,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":180},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":87}]}]},{"description":"Dress Hydrofiber-ag 4x5 Aquacel Ag","code_information":[{"code":"52146","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":".Deoxycortisol 11-","code_information":[{"code":"758563","type":"CDM"},{"code":"300","type":"RC"},{"code":"82634","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Ortho Washer Small","code_information":[{"code":"48657","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 18mm","code_information":[{"code":"50971","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 20mm","code_information":[{"code":"50972","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 18mm","code_information":[{"code":"50988","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 22mm","code_information":[{"code":"50990","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Osteopathic Manipulation (9-10 Body Regions)","code_information":[{"code":"CP17585600566680429","type":"CDM"},{"code":"521","type":"RC"},{"code":"98929","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Simple Repair, Superficial Wounds, Scalp","code_information":[{"code":"CP17585600566712695","type":"CDM"},{"code":"521","type":"RC"},{"code":"12001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"G0289 Arthroscopy, Knee, Diff. Compart.","code_information":[{"code":"CP17585603283916927","type":"CDM"},{"code":"510","type":"RC"},{"code":"G0289","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Simple Repair, Superficial Wounds, Scalp","code_information":[{"code":"CP17585603283958039","type":"CDM"},{"code":"510","type":"RC"},{"code":"12001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Fsh (Follicle Stimulating Hormone)que","code_information":[{"code":"75034","type":"CDM"},{"code":"300","type":"RC"},{"code":"83001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":".Estradiol Quest","code_information":[{"code":"75284","type":"CDM"},{"code":"300","type":"RC"},{"code":"82670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Estradiol Ultrasensitive Lc/msquest","code_information":[{"code":"757033","type":"CDM"},{"code":"300","type":"RC"},{"code":"82670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Fsh Pediatricsquest","code_information":[{"code":"757929","type":"CDM"},{"code":"300","type":"RC"},{"code":"83001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":41,"maximum":179,"gross_charge":196,"discounted_cash":147,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":179},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Doppler Reading","code_information":[{"code":"CP17585600566604851","type":"CDM"},{"code":"521","type":"RC"},{"code":"93922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Injection Diag Agent 3rd Plu Level","code_information":[{"code":"CP17585600566677808","type":"CDM"},{"code":"521","type":"RC"},{"code":"64495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"29105 App Long Arm Splint(shouldr-hnd)","code_information":[{"code":"CP17585603283885313","type":"CDM"},{"code":"510","type":"RC"},{"code":"29105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"46600 Anoscopy Diagnostic W W/o Specimen","code_information":[{"code":"CP17585603283903260","type":"CDM"},{"code":"510","type":"RC"},{"code":"46600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Injection Diag Agent 3rd Plu Level","code_information":[{"code":"CP17585603283940387","type":"CDM"},{"code":"510","type":"RC"},{"code":"64495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Lhquest","code_information":[{"code":"75051","type":"CDM"},{"code":"300","type":"RC"},{"code":"83002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Citric Acid 24h Ur W/out Creatquest","code_information":[{"code":"751653","type":"CDM"},{"code":"300","type":"RC"},{"code":"82507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":".Assay Of Citrate","code_information":[{"code":"757933","type":"CDM"},{"code":"300","type":"RC"},{"code":"82507","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Lh Pediatricsquest","code_information":[{"code":"758081","type":"CDM"},{"code":"300","type":"RC"},{"code":"83002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":195,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":86}]}]},{"description":"Needle Nerve Stim 24gx1","code_information":[{"code":"49664","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49664","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Needle Nerve Stim 22gx2","code_information":[{"code":"49669","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49669","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Buck's Traction X-large","code_information":[{"code":"50090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 55mm","code_information":[{"code":"50982","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50982","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Iv Additive Cap","code_information":[{"code":"47039","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":178,"gross_charge":194,"discounted_cash":146,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":178},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Id By Nucleic Acid (Dna Or Rna) Probe","code_information":[{"code":"758767","type":"CDM"},{"code":"300","type":"RC"},{"code":"87149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Gastric Lavage Kit Monoject","code_information":[{"code":"49202","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"T-tube Deaver 22 Fr","code_information":[{"code":"49724","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49724","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Injection Diag Agent Facet 2nd Lev","code_information":[{"code":"CP17585600566679985","type":"CDM"},{"code":"521","type":"RC"},{"code":"64494","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Removal, Skin Tags, Multiple Fibrocutane","code_information":[{"code":"CP17585600566715492","type":"CDM"},{"code":"521","type":"RC"},{"code":"11200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Injection Diag Agent Facet 2nd Lev","code_information":[{"code":"CP17585603283941379","type":"CDM"},{"code":"510","type":"RC"},{"code":"64494","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Medical Testimony Per Hour","code_information":[{"code":"CP17585603283940962","type":"CDM"},{"code":"510","type":"RC"},{"code":"99075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Removal, Skin Tags, Multiple Fibrocutane","code_information":[{"code":"CP17585603283940414","type":"CDM"},{"code":"510","type":"RC"},{"code":"11200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Fluoro Needle Placement","code_information":[{"code":"40000","type":"CDM"},{"code":"320","type":"RC"},{"code":"77002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ortho Maxbrd#2 Bk/bl+bl","code_information":[{"code":"52523","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52523","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ortho Maxbrd#5mo-6-ndlbk/bl+bl","code_information":[{"code":"52545","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ortho Maxbrd#5ccs-ndlbkbl+bl","code_information":[{"code":"52546","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52546","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ortho Rc Needle 35mm","code_information":[{"code":"52547","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52547","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Heparin Induced Platelet Abquest","code_information":[{"code":"75154","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Psa Screen  (Psa Total)","code_information":[{"code":"350108","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"350109","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"750038","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"750039","type":"CDM"},{"code":"301","type":"RC"},{"code":"84154","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Psa (Screening Only) Quest","code_information":[{"code":"750157","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Psa Screening       Quest","code_information":[{"code":"750169","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0103","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Plt Antibodies","code_information":[{"code":"750913","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Striational (Striated Muscle) Antibodie","code_information":[{"code":"752065","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Agna-1","code_information":[{"code":"752066","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Amphiphysin","code_information":[{"code":"752067","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Anna-1","code_information":[{"code":"752068","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Anna-2","code_information":[{"code":"752069","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Anna-3","code_information":[{"code":"752070","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Crmp-5-igg","code_information":[{"code":"752071","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Pca-1","code_information":[{"code":"752072","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Pca-2","code_information":[{"code":"752073","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":".Pca-tr","code_information":[{"code":"752074","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"758073","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Pca Patient Control Module","code_information":[{"code":"47071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ex.fix. Rod 15.0mm X 250mm","code_information":[{"code":"48150","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48150","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ex.fix. Rod 15.0mm X 300mm","code_information":[{"code":"48154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Ex.fix. Rod 15.0mm X 200mm","code_information":[{"code":"48158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Dress Collagen-alginate 3/8 X16 Fibracol","code_information":[{"code":"52030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":177,"gross_charge":193,"discounted_cash":145,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":177},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":85}]}]},{"description":"Dot Physical Without Drug Screen","code_information":[{"code":"CP17585600566613641","type":"CDM"},{"code":"521","type":"RC"},{"code":"99499","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Advanced Care Planning","code_information":[{"code":"CP17585600566594430","type":"CDM"},{"code":"521","type":"RC"},{"code":"99497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"29075 App Forearm Cast(elbow To Finger","code_information":[{"code":"CP17585603283884668","type":"CDM"},{"code":"510","type":"RC"},{"code":"29075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Ot Wheelchair Management","code_information":[{"code":"55255-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97542","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Pt Wheelchair Management","code_information":[{"code":"55435-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97542","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Cath Guidewire .035cm X 68cm (26-3/4 )","code_information":[{"code":"49345","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":40,"maximum":176,"gross_charge":192,"discounted_cash":144,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":176},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Bile Acids Fractionated & Total","code_information":[{"code":"750078","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Vitamin B6 (Plasma)quest","code_information":[{"code":"750107","type":"CDM"},{"code":"300","type":"RC"},{"code":"84207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Iodinequest","code_information":[{"code":"750320","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"17-hydroxyprogesterone Qntquest","code_information":[{"code":"750623","type":"CDM"},{"code":"300","type":"RC"},{"code":"83498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Fluoxetinequest","code_information":[{"code":"751119","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Sertralinequest","code_information":[{"code":"751163","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Risperidonequest","code_information":[{"code":"751273","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".17-hydroxypregnenolone","code_information":[{"code":"751749","type":"CDM"},{"code":"300","type":"RC"},{"code":"84143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Hydroxyprogesterone, 17-d","code_information":[{"code":"751750","type":"CDM"},{"code":"300","type":"RC"},{"code":"83498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Shbg","code_information":[{"code":"751761","type":"CDM"},{"code":"300","type":"RC"},{"code":"84270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Assay Of Hydroxyprogesterone, 17-d","code_information":[{"code":"752015","type":"CDM"},{"code":"300","type":"RC"},{"code":"83498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Assay Of 17-hydroxypregnenolone","code_information":[{"code":"752016","type":"CDM"},{"code":"300","type":"RC"},{"code":"84143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Mycophenolic Acid Lc/ms/msquest","code_information":[{"code":"752099","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Adrenal Steroid Qnt Panelquest","code_information":[{"code":"757126","type":"CDM"},{"code":"300","type":"RC"},{"code":"84143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Iodine 24h Urinequest","code_information":[{"code":"757276","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Hemoglobin Fractionation & Quantitation","code_information":[{"code":"758002","type":"CDM"},{"code":"300","type":"RC"},{"code":"83021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":".Column Chromatography, Includes Mass Sp","code_information":[{"code":"758314","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":175,"gross_charge":191,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":175},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Zz Abilify 2mg","code_information":[{"code":"304179","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304179","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ortho Washer Large","code_information":[{"code":"48659","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48659","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Tray Paracervical Block","code_information":[{"code":"49088","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Knee Immobilizer 20  Small","code_information":[{"code":"50071","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Knee Immobilizer 20  Medium","code_information":[{"code":"50072","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Knee Immobilizer 20  3 Panel Splint","code_information":[{"code":"50073","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1830","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}]},{"description":"Timolol 0.25% Oph Sol:5 Ml-","code_information":[{"code":"301753","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":174,"gross_charge":190,"discounted_cash":143,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":174},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":84}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Home Visit Est Pt 2+ Key Components:expa","code_information":[{"code":"CP17585600566644943","type":"CDM"},{"code":"522","type":"RC"},{"code":"99348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"44955 Add On Appendectomy","code_information":[{"code":"CP17585603283906547","type":"CDM"},{"code":"510","type":"RC"},{"code":"44955","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Home Visit Est Pt 2+ Key Components:expa","code_information":[{"code":"CP17585603283923890","type":"CDM"},{"code":"510","type":"RC"},{"code":"99348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Ed-probs Are Self Limited Or Minor","code_information":[{"code":"65007","type":"CDM"},{"code":"450","type":"RC"},{"code":"99281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Ed-probs Are Self Limited Or Minor","code_information":[{"code":"65907-25","type":"CDM"},{"code":"450","type":"RC"},{"code":"99281","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Extractable Nuclear Antigen, Antibody T","code_information":[{"code":"750700","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Rnp Antibodyquest","code_information":[{"code":"750961","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Sjogren's Antibody (Ss-b)quest","code_information":[{"code":"750963","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Sjogren's Antibody (Ss-a)quest","code_information":[{"code":"750964","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Jo-1 Antibodyquest","code_information":[{"code":"750965","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Scl-70 Antibodyquest","code_information":[{"code":"750966","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Smith Antibodyquest","code_information":[{"code":"750972","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Extractable Nuclear Antigen, Antibody T","code_information":[{"code":"751098","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Centromere B Antibodyquest","code_information":[{"code":"751734","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Smear, Complex Special Stain","code_information":[{"code":"751940","type":"CDM"},{"code":"300","type":"RC"},{"code":"87209","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Amphiphysin Western Blot","code_information":[{"code":"752076","type":"CDM"},{"code":"300","type":"RC"},{"code":"84182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Crmp-5-igg Western Blot","code_information":[{"code":"752077","type":"CDM"},{"code":"300","type":"RC"},{"code":"84182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Paraneoplastic Autoantibody Western","code_information":[{"code":"752078","type":"CDM"},{"code":"300","type":"RC"},{"code":"84182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Sm Antibody","code_information":[{"code":"757962","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Rnp Antibody","code_information":[{"code":"757963","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Sjgoren's Antibody (Ss-a)","code_information":[{"code":"757964","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Sjgoren's Antibody (Ss-b)","code_information":[{"code":"757965","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Jo-1 Antibody","code_information":[{"code":"757966","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Scleroderma Antibody (Scl-70)","code_information":[{"code":"757967","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Extractable Nuclear Antigen, Antibody T","code_information":[{"code":"758180","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Western Blot With Interpretation And Re","code_information":[{"code":"758237","type":"CDM"},{"code":"300","type":"RC"},{"code":"84182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Protein Western Blot Test","code_information":[{"code":"758296","type":"CDM"},{"code":"300","type":"RC"},{"code":"84182","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Extractable Nuclear Ag Ab Total","code_information":[{"code":"758297","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Heel Elbow Protector Regular","code_information":[{"code":"49465","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49465","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Athletic Support Medium","code_information":[{"code":"49632","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49632","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Athletic Support Large","code_information":[{"code":"49633","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49633","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 14mm","code_information":[{"code":"50830","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 16mm","code_information":[{"code":"50831","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50831","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 18mm","code_information":[{"code":"50832","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50832","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 20mm","code_information":[{"code":"50833","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50833","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 22mm","code_information":[{"code":"50834","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50834","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 24mm","code_information":[{"code":"50835","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50835","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 26mm","code_information":[{"code":"50836","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 28mm","code_information":[{"code":"50837","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50837","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 30mm","code_information":[{"code":"50838","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50838","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 32mm","code_information":[{"code":"50839","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50839","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 34mm","code_information":[{"code":"50840","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 36mm","code_information":[{"code":"50841","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50841","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 38mm","code_information":[{"code":"50842","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Cort.4.5mm 40mm","code_information":[{"code":"50843","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 10mm","code_information":[{"code":"50967","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50967","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 12mm","code_information":[{"code":"50968","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50968","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 14mm","code_information":[{"code":"50969","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 16mm","code_information":[{"code":"50970","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 22mm","code_information":[{"code":"50973","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50973","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 24mm","code_information":[{"code":"50974","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50974","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 26mm","code_information":[{"code":"50975","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 28mm","code_information":[{"code":"50976","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50976","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 30mm","code_information":[{"code":"50977","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50977","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 35mm","code_information":[{"code":"50978","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50978","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 40mm","code_information":[{"code":"50979","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 45mm","code_information":[{"code":"50980","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 50mm","code_information":[{"code":"50981","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50981","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Full Thrd 60mm","code_information":[{"code":"50983","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50983","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 10mm","code_information":[{"code":"50984","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 12mm","code_information":[{"code":"50985","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50985","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 14mm","code_information":[{"code":"50986","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50986","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 16mm","code_information":[{"code":"50987","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 20mm","code_information":[{"code":"50989","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 24mm","code_information":[{"code":"50991","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 26mm","code_information":[{"code":"50992","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 28mm","code_information":[{"code":"50993","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50993","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 30mm","code_information":[{"code":"50994","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 35mm","code_information":[{"code":"50995","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50995","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 40mm","code_information":[{"code":"50996","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 45mm","code_information":[{"code":"50997","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Screw Ti Canc.4.0mm Part Thrd 50mm","code_information":[{"code":"50998","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Wound Vac Whitefoam Dress Lrg","code_information":[{"code":"52193","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Ortho Maxbrd#2mo-6-ndl Bk-bl+bl","code_information":[{"code":"52515","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52515","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Mycoplasma Genitalium (Swab/urine)que","code_information":[{"code":"758733","type":"CDM"},{"code":"301","type":"RC"},{"code":"87563","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":173,"gross_charge":189,"discounted_cash":142,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":173},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Pad K-thermia 14  X 20","code_information":[{"code":"49162","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Chest Drain Valve Heimlich","code_information":[{"code":"49649","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49649","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Urology Table Drainage Bag","code_information":[{"code":"49790","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49790","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Cath Ureteral Whistle Tip 4fr","code_information":[{"code":"49812","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49812","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Ortho  Washer For 5.5 Thru 7.5 Mm Screws","code_information":[{"code":"53103","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP53103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Calcitoninquest","code_information":[{"code":"75279","type":"CDM"},{"code":"300","type":"RC"},{"code":"82308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Electrphoretic Fractionation And Quat","code_information":[{"code":"75421","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Proinsulinquest","code_information":[{"code":"750554","type":"CDM"},{"code":"300","type":"RC"},{"code":"84206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Protein-electro-fract And Quant (Urine","code_information":[{"code":"750644","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Molecular Cytogenetics,dna Probe,each","code_information":[{"code":"750834","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Protein-electro-fract Adn Quant (Urine,","code_information":[{"code":"750970","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Electrophoretic,other Urine","code_information":[{"code":"751420","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Molecular Cytogenetics;dna Probe Each","code_information":[{"code":"751669","type":"CDM"},{"code":"310","type":"RC"},{"code":"88271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Factor Viii Activity Clottingquest","code_information":[{"code":"751865","type":"CDM"},{"code":"300","type":"RC"},{"code":"85240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Factor X Activityquest","code_information":[{"code":"751866","type":"CDM"},{"code":"300","type":"RC"},{"code":"85260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Factor Xi Activity Clotting Quest","code_information":[{"code":"751867","type":"CDM"},{"code":"300","type":"RC"},{"code":"85270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Clotting; Factor Viii (Ahg), One Stage","code_information":[{"code":"757954","type":"CDM"},{"code":"300","type":"RC"},{"code":"85240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":".Protein-electro-fract And Quant (Urine)","code_information":[{"code":"758266","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Cath Foley Irr 30cc 22fr        *Latex*","code_information":[{"code":"49071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Wound Drain Kit 400cc Reservoir Only","code_information":[{"code":"49551","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49551","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Sling Cva Size Large","code_information":[{"code":"50200","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":172,"gross_charge":188,"discounted_cash":141,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":172},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":83}]}]},{"description":"Iv Set Chemotherapy W/filter Paclitaxel","code_information":[{"code":"47047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":171,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Thiamine (Vitamin B1)  Quest","code_information":[{"code":"75053","type":"CDM"},{"code":"300","type":"RC"},{"code":"84425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":171,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Vitamin B1 (Thiamine)quest","code_information":[{"code":"751136","type":"CDM"},{"code":"300","type":"RC"},{"code":"84425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":39,"maximum":171,"gross_charge":187,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":171},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Hsv 2 Igg Inhibition Assayquest","code_information":[{"code":"758625","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Ep Visit Brief 0-15 Min","code_information":[{"code":"69011","type":"CDM"},{"code":"761","type":"RC"},{"code":"99211","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566719671","type":"CDM"},{"code":"521","type":"RC"},{"code":"99394","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Pt Manual Therapy","code_information":[{"code":"55403-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97140","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Ot Manual Therapy","code_information":[{"code":"55424-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97140","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Gastrinquest","code_information":[{"code":"75119","type":"CDM"},{"code":"300","type":"RC"},{"code":"82941","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":".Nllcompatibility Test ,Ea Unit,incub","code_information":[{"code":"750948","type":"CDM"},{"code":"300","type":"RC"},{"code":"86921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Factor V Activity Clottingquest","code_information":[{"code":"751857","type":"CDM"},{"code":"300","type":"RC"},{"code":"85220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":".Hiv-1 P24 Antigen","code_information":[{"code":"758424","type":"CDM"},{"code":"300","type":"RC"},{"code":"87390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":170,"gross_charge":186,"discounted_cash":140,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":170},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":82}]}]},{"description":"Opt Knife Full Handle Stab 30o","code_information":[{"code":"49979","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49979","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 14fr","code_information":[{"code":"52019","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52019","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 16fr","code_information":[{"code":"52020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 18fr","code_information":[{"code":"52021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 12fr","code_information":[{"code":"52252","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52252","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 20fr","code_information":[{"code":"52253","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52253","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cath Foley Ic Silicone 5cc 22fr","code_information":[{"code":"52254","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52254","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":169,"gross_charge":185,"discounted_cash":139,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":169},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"29505 G-app Long Leg Splint","code_information":[{"code":"CP17585603283890635","type":"CDM"},{"code":"510","type":"RC"},{"code":"29505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"31505 Laryngoscopy Indirect Diagnostic","code_information":[{"code":"CP17585603283893430","type":"CDM"},{"code":"510","type":"RC"},{"code":"31505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Covid-19 Antigen","code_information":[{"code":"351189","type":"CDM"},{"code":"300","type":"RC"},{"code":"87811","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Inf.port Needle 22g 5/8  W/y-site","code_information":[{"code":"47051","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47051","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"99152 Fac: Mod Sed Init 15 Min","code_information":[{"code":"13380020","type":"CDM"},{"code":"370","type":"RC"},{"code":"99152","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Pancreatic Elastase-1quest","code_information":[{"code":"751783","type":"CDM"},{"code":"300","type":"RC"},{"code":"82653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":168,"gross_charge":184,"discounted_cash":138,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":168},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Group Ii Stain","code_information":[{"code":"22015","type":"CDM"},{"code":"310","type":"RC"},{"code":"88313","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Pt Self Care/adl's","code_information":[{"code":"55438-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97535","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Neisseria Gonorrhoeae Rnaquest","code_information":[{"code":"75134","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Progesteronequest","code_information":[{"code":"75177","type":"CDM"},{"code":"300","type":"RC"},{"code":"84144","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Neisseria","code_information":[{"code":"75413","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".C Difficile Amp Probe","code_information":[{"code":"351209","type":"CDM"},{"code":"300","type":"RC"},{"code":"87493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Chlamydia Trachomatis Rna (Urogenital) -","code_information":[{"code":"750056","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Chlamydia","code_information":[{"code":"750066","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Herpes Simplex Virus 1&2, Pcrquest","code_information":[{"code":"750125","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Group Ii Stain Trichrome","code_information":[{"code":"750154","type":"CDM"},{"code":"300","type":"RC"},{"code":"88313","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Papillomavirus Human Amplified Probe","code_information":[{"code":"750732","type":"CDM"},{"code":"300","type":"RC"},{"code":"87624","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Tissue Culture Inoc.","code_information":[{"code":"750783","type":"CDM"},{"code":"300","type":"RC"},{"code":"87252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Cytomegalovirus Dna Qlt Pcrquest","code_information":[{"code":"750851","type":"CDM"},{"code":"300","type":"RC"},{"code":"87496","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Progesterone Lc/msquest","code_information":[{"code":"750915","type":"CDM"},{"code":"300","type":"RC"},{"code":"84144","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Norovirus Rna Qual Rt-pcrquest","code_information":[{"code":"751342","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Culturerespiratory Virus Offseason","code_information":[{"code":"751421","type":"CDM"},{"code":"300","type":"RC"},{"code":"87252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Hsv,amplified Probe Technique","code_information":[{"code":"751475","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Herpesvirus 6 (Hhv-6) Dna Qlt Pcrque","code_information":[{"code":"751620","type":"CDM"},{"code":"300","type":"RC"},{"code":"87532","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Herpes Simplex Virus, Amplified Probe","code_information":[{"code":"751676","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Infectious Agent Amplified Probe","code_information":[{"code":"751685","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Each Additional Durg","code_information":[{"code":"751803","type":"CDM"},{"code":"300","type":"RC"},{"code":"87904","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".N.gonorrhoeae, Dna, Amp Probe","code_information":[{"code":"751961","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Clostridium Difficile Toxin B, Qlt Pcr","code_information":[{"code":"751975","type":"CDM"},{"code":"300","type":"RC"},{"code":"87493","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Ehrlichia Chaffeensis Dnaquest","code_information":[{"code":"752057","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Enterovirus Rna Qlt Pcrquest","code_information":[{"code":"752487","type":"CDM"},{"code":"300","type":"RC"},{"code":"87498","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Tissue Culture Inoculation, Observation","code_information":[{"code":"757055","type":"CDM"},{"code":"300","type":"RC"},{"code":"87252","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Varicella Zoster Virus Dna Pcrquest","code_information":[{"code":"757070","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Hsv, Amplified Probe (Ali)","code_information":[{"code":"757195","type":"CDM"},{"code":"300","type":"RC"},{"code":"87529","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Hiv-1 Rna, Qualitative, Tma","code_information":[{"code":"757203","type":"CDM"},{"code":"300","type":"RC"},{"code":"87535","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".M. Tuberculo, Dna, Amp Probe","code_information":[{"code":"757216","type":"CDM"},{"code":"300","type":"RC"},{"code":"87556","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Neisseria Gonorrhoeae, Amp Probe Tech","code_information":[{"code":"757347","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Chlamydia Trachomatis, Amp Probe Tech","code_information":[{"code":"757348","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Trichomonas Vaginalis, Amp Probe Tech","code_information":[{"code":"757349","type":"CDM"},{"code":"306","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Rsv (Respiratory Syncytial Virus) Rna","code_information":[{"code":"757927","type":"CDM"},{"code":"300","type":"RC"},{"code":"87634","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Zika Virus Pcrstate Lab","code_information":[{"code":"758024","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":".Amplified Probe Technique Each Organism","code_information":[{"code":"758201","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Borrelia Miyamotoi Dna Rt-pcrquest","code_information":[{"code":"758317","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Babesia Microti Dna Rt-pcrquest","code_information":[{"code":"798405","type":"CDM"},{"code":"300","type":"RC"},{"code":"87469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":183,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":81}]}]},{"description":"Mellarill","code_information":[{"code":"75397","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Rest Home Visit, New Pt 3 Key Components","code_information":[{"code":"CP17585600566710602","type":"CDM"},{"code":"522","type":"RC"},{"code":"99325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"29405 App Shortleg Cast(below Knee-toe","code_information":[{"code":"CP17585603283880296","type":"CDM"},{"code":"510","type":"RC"},{"code":"29405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Gross Examination","code_information":[{"code":"17004","type":"CDM"},{"code":"310","type":"RC"},{"code":"88300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Ot Sensory Integration","code_information":[{"code":"55018-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97533","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Hla-b27 Agquest","code_information":[{"code":"75041","type":"CDM"},{"code":"300","type":"RC"},{"code":"86812","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Testosterone Total (Adult Males)ques","code_information":[{"code":"75124","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Hirsutism Panel 2 (Testosterone; Total)","code_information":[{"code":"75656","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Nllag Typing, Each Unit Sent, 3 Ags","code_information":[{"code":"750937","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Myelin Basic Protein Csfquest","code_information":[{"code":"751189","type":"CDM"},{"code":"300","type":"RC"},{"code":"83873","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Testosterone Total","code_information":[{"code":"751501","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Testosterone; Total","code_information":[{"code":"751759","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Testosterone Total (Women/child)ques","code_information":[{"code":"751762","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Assay Of Testosterone Total","code_information":[{"code":"758256","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":".Total Testosterone","code_information":[{"code":"7501025","type":"CDM"},{"code":"300","type":"RC"},{"code":"84403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":38,"maximum":167,"gross_charge":182,"discounted_cash":137,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":167},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Trays, Foley Cath 16","code_information":[{"code":"48004","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48004","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":166,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Trays Cut Down Ped.","code_information":[{"code":"48012","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":166,"gross_charge":181,"discounted_cash":136,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":166},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":80}]}]},{"description":"Patient office consultation, 60 min","code_information":[{"code":"13399244-QZ","type":"CDM"},{"code":"521","type":"RC"},{"code":"99244","type":"CPT","modifier":"QZ"}],"standard_charges":[{"setting":"outpatient","modifier_code":["QZ"],"minimum":37,"maximum":165,"gross_charge":180,"discounted_cash":135,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":165},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Dress Surgicel 2x3 Absorbable Hemostat","code_information":[{"code":"49484","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49484","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"T-tube Deaver 14 Fr","code_information":[{"code":"49830","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Home Visit New Pt 3 Key Components:expan","code_information":[{"code":"CP17585600566659734","type":"CDM"},{"code":"522","type":"RC"},{"code":"99342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Home Visit New Pt 3 Key Components:expan","code_information":[{"code":"CP17585603283937737","type":"CDM"},{"code":"510","type":"RC"},{"code":"99342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Hirsutism Panel 2 (Testosterone; Free)","code_information":[{"code":"75657","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Testosterone Free Serum Quest","code_information":[{"code":"750823","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Selenium Serumquest","code_information":[{"code":"750827","type":"CDM"},{"code":"300","type":"RC"},{"code":"84255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Aluminumquest","code_information":[{"code":"750837","type":"CDM"},{"code":"300","type":"RC"},{"code":"82108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Testosterone Free","code_information":[{"code":"751500","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Testosterone Freequest","code_information":[{"code":"751547","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Testosterone; Free","code_information":[{"code":"751760","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Selenium (Blood)quest","code_information":[{"code":"757253","type":"CDM"},{"code":"300","type":"RC"},{"code":"84255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":".Free Testosterone","code_information":[{"code":"7501026","type":"CDM"},{"code":"300","type":"RC"},{"code":"84402","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}]},{"description":"Acetaminophen Premix 1000mg/100ml","code_information":[{"code":"312061","type":"CDM"},{"code":"636","type":"RC"},{"code":"36000030660","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"D5/lr With Kcl 20meq/1000ml Premix","code_information":[{"code":"308552","type":"CDM"},{"code":"250","type":"RC"},{"code":"33808","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Lidocaine Premix 2gm/500ml D5w","code_information":[{"code":"310360","type":"CDM"},{"code":"250","type":"RC"},{"code":"33804","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Magnesium Sulf. Premix 40gm/1000ml St Wt","code_information":[{"code":"303207","type":"CDM"},{"code":"250","type":"RC"},{"code":"40931","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Nacl 0.45% W/kcl 20meq 1000ml Premix","code_information":[{"code":"310069","type":"CDM"},{"code":"250","type":"RC"},{"code":"99092","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Nitroglycerin Premix Btl 50mg/250ml D5w","code_information":[{"code":"310361","type":"CDM"},{"code":"250","type":"RC"},{"code":"33810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Cefazolin 2gm/50ml D5w Ivpb","code_information":[{"code":"305993","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0690","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cefazolin 3gm/100ml Ns Ivpb","code_information":[{"code":"307433","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP307433","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":164,"gross_charge":179,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":164},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":79}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Beta-2 Transferrin (Body Fluid)quest","code_information":[{"code":"758791","type":"CDM"},{"code":"300","type":"RC"},{"code":"86335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Medicare Telehealth Visits","code_information":[{"code":"CP17585600566689835","type":"CDM"},{"code":"521","type":"RC"},{"code":"G2025","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Occipital Nerve Block","code_information":[{"code":"CP17585603283943624","type":"CDM"},{"code":"510","type":"RC"},{"code":"64450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cath Thoracic 24fr","code_information":[{"code":"49003","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cath Thoracic 28fr","code_information":[{"code":"49007","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49007","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Pap Smear Gynip","code_information":[{"code":"75088","type":"CDM"},{"code":"311","type":"RC"},{"code":"88142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Pap Smear Gynop","code_information":[{"code":"75112","type":"CDM"},{"code":"311","type":"RC"},{"code":"88142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"T3 Freequest","code_information":[{"code":"75560","type":"CDM"},{"code":"300","type":"RC"},{"code":"84481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Metanephrines Fract & Freequest","code_information":[{"code":"75903","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Pap Smear Gynop","code_information":[{"code":"79231","type":"CDM"},{"code":"311","type":"RC"},{"code":"88142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Igf-1quest","code_information":[{"code":"750122","type":"CDM"},{"code":"300","type":"RC"},{"code":"84305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Catecholamine Fract 24hr Ur W/o Creat","code_information":[{"code":"750176","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Metanephrines Fractionated 24hr Urine","code_information":[{"code":"750535","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Homocysteine Quest","code_information":[{"code":"750645","type":"CDM"},{"code":"300","type":"RC"},{"code":"83090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Chromium Serumquest","code_information":[{"code":"750828","type":"CDM"},{"code":"300","type":"RC"},{"code":"82495","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Fractionated","code_information":[{"code":"751123","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Catecholamines Fractionatedquest","code_information":[{"code":"751186","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Tissue Culture, Neutralization","code_information":[{"code":"751524","type":"CDM"},{"code":"300","type":"RC"},{"code":"87253","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Dhea","code_information":[{"code":"751748","type":"CDM"},{"code":"300","type":"RC"},{"code":"82626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Catecholamines, Free 24h Ur V06/25/20","code_information":[{"code":"751763","type":"CDM"},{"code":"300","type":"RC"},{"code":"82384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Assay Of Homocystine","code_information":[{"code":"751908","type":"CDM"},{"code":"300","type":"RC"},{"code":"83090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Dehydroepiandrosterone (Dhea)","code_information":[{"code":"752014","type":"CDM"},{"code":"300","type":"RC"},{"code":"82626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Dhea Unconjugatedquest","code_information":[{"code":"752494","type":"CDM"},{"code":"300","type":"RC"},{"code":"82626","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Neutralization Test, Viral","code_information":[{"code":"757121","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Assay Of Metanephrines","code_information":[{"code":"757279","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cath Foley Silicone Irr 30cc 18fr","code_information":[{"code":"52044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cath Foley Silicone Irr 30cc 20fr","code_information":[{"code":"52045","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Cath Foley Silicone Irr 30cc 22fr","code_information":[{"code":"52046","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":163,"gross_charge":178,"discounted_cash":134,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":163},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Heparin-induced Plt Ab W/ Rflx Sraque","code_information":[{"code":"758720","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":162,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Drug Toxicology Monitor 1 (Oral Fluid)","code_information":[{"code":"758734","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":162,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Stein.pin Nthrd 2.8mm(7/64 )X229mm(9 )","code_information":[{"code":"48472","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48472","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":162,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":".Cytopathology W/ Scrn By Auto & Manual","code_information":[{"code":"758610","type":"CDM"},{"code":"310","type":"RC"},{"code":"88175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":37,"maximum":162,"gross_charge":177,"discounted_cash":133,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":162},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":78}]}]},{"description":"Strapping Unna Boot, Bilateral Procedure","code_information":[{"code":"CP17585600566719035-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"29580","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Strapping Unna Boot, Bilateral Procedure","code_information":[{"code":"CP17585603283956458-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"29580","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"35003","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Pt Gait Training","code_information":[{"code":"55229-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97116","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Procainamidequest","code_information":[{"code":"75176","type":"CDM"},{"code":"300","type":"RC"},{"code":"80192","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"350055","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"351175","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Stool Fat 24/48/72hr/randomquest","code_information":[{"code":"750239","type":"CDM"},{"code":"300","type":"RC"},{"code":"82710","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Maternal Serum Afpquest","code_information":[{"code":"750953","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Alpha-fetoprotein Tumor Markerquest","code_information":[{"code":"750954","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Alpha-fetoprotein (Afp)","code_information":[{"code":"750956","type":"CDM"},{"code":"300","type":"RC"},{"code":"82105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cortisol Free Serumquest","code_information":[{"code":"751292","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cortisol Saliva Lc/msquest","code_information":[{"code":"757247","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Cortisol","code_information":[{"code":"758624","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"758784","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Ccppamerigel Wound Gel 30gm Tube","code_information":[{"code":"310929","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP310929","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Foley  3cc  8fr             *Latex*","code_information":[{"code":"49114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cath Guidewire .035cm X 45cm","code_information":[{"code":"49463","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49463","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Wound Drain Flat Full Perf Silicone  7mm","code_information":[{"code":"49548","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49548","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Electrosurg Suction Coagulator 10fr  6","code_information":[{"code":"49679","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49679","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Casting Splint 4x15 Scotchcast","code_information":[{"code":"50136","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Nasal Pressure Cannula  Adult","code_information":[{"code":"53174","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53174","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Collar Extrication Adj Perfit Ace","code_information":[{"code":"52108","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":161,"gross_charge":176,"discounted_cash":132,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":161},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Use Fee Ex.fix. Rod 15.0mm X 200mm","code_information":[{"code":"48198","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48198","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Growth Hormonequest","code_information":[{"code":"751755","type":"CDM"},{"code":"300","type":"RC"},{"code":"83003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Estronequest","code_information":[{"code":"751848","type":"CDM"},{"code":"300","type":"RC"},{"code":"82679","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Assay Of Primidone","code_information":[{"code":"758362","type":"CDM"},{"code":"300","type":"RC"},{"code":"80188","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cyclosporine A Troughquest","code_information":[{"code":"758638","type":"CDM"},{"code":"300","type":"RC"},{"code":"80158","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Cyclosporine A Peak (2hr)quest","code_information":[{"code":"758639","type":"CDM"},{"code":"300","type":"RC"},{"code":"80158","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Column Chromatography Quant","code_information":[{"code":"758678","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":160,"gross_charge":175,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":160},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Strep A Pcr","code_information":[{"code":"351199","type":"CDM"},{"code":"300","type":"RC"},{"code":"87651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Chlamydia Trach Amp Probe","code_information":[{"code":"351203","type":"CDM"},{"code":"300","type":"RC"},{"code":"87491","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Neisseria Gonor Amp Probe","code_information":[{"code":"351204","type":"CDM"},{"code":"300","type":"RC"},{"code":"87591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Trichomonas Vagin Amp Probe","code_information":[{"code":"351205","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Trichomonas Vaginalis Pcr","code_information":[{"code":"351206","type":"CDM"},{"code":"300","type":"RC"},{"code":"87661","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"...Strep A Pcrcch","code_information":[{"code":"351215","type":"CDM"},{"code":"300","type":"RC"},{"code":"87651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 28mm","code_information":[{"code":"48627","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 32mm","code_information":[{"code":"48628","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 36mm","code_information":[{"code":"48629","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 40mm","code_information":[{"code":"48630","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48630","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 60mm","code_information":[{"code":"48634","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48634","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 34mm","code_information":[{"code":"48635","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48635","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Mpr Sterile Ankle Distractor Strap","code_information":[{"code":"53026","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Pneumococcal Vaccine, 23-valent, Adult,","code_information":[{"code":"CP17585600566718364","type":"CDM"},{"code":"521","type":"RC"},{"code":"90732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Immunoglobulin Equest","code_information":[{"code":"75047","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Norepinephrine Drip 8mg/250ml D5w","code_information":[{"code":"306509","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP306509","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Alcohol Metab Scrn W/ Confirm Urinequ","code_information":[{"code":"751569","type":"CDM"},{"code":"301","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Ige- Serum","code_information":[{"code":"751612","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Lipoprotein, High Resolution Fract.quan","code_information":[{"code":"757250","type":"CDM"},{"code":"300","type":"RC"},{"code":"83701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":"Acetaminophen (Urine)quest","code_information":[{"code":"757958","type":"CDM"},{"code":"301","type":"RC"},{"code":"80143","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":159,"gross_charge":174,"discounted_cash":131,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":159},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":157},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":77}]}]},{"description":".Extractable Nuclear Antigen Antibody To","code_information":[{"code":"758646","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Chemical Cauterization, Granulation Tiss","code_information":[{"code":"CP17585600566606185","type":"CDM"},{"code":"521","type":"RC"},{"code":"17250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Gentamicin Peak","code_information":[{"code":"35040","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Gentamicin Trough","code_information":[{"code":"35041","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Methylmalonic Acidquest","code_information":[{"code":"750557","type":"CDM"},{"code":"300","type":"RC"},{"code":"83921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Manganese Serumquest","code_information":[{"code":"751214","type":"CDM"},{"code":"300","type":"RC"},{"code":"83785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Ethosuximidequest","code_information":[{"code":"751387","type":"CDM"},{"code":"300","type":"RC"},{"code":"80168","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":".Assay Of Organic Acids; Total, Qnt Each","code_information":[{"code":"757031","type":"CDM"},{"code":"300","type":"RC"},{"code":"83918","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Factor Xiii Activityquest","code_information":[{"code":"757229","type":"CDM"},{"code":"300","type":"RC"},{"code":"85290","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Manganese Rbcquest","code_information":[{"code":"757319","type":"CDM"},{"code":"300","type":"RC"},{"code":"83785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":".Organic Acid, Single, Quantitative","code_information":[{"code":"757993","type":"CDM"},{"code":"300","type":"RC"},{"code":"83921","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":36,"maximum":158,"gross_charge":173,"discounted_cash":130,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":158},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":76}]}]},{"description":"Sodium Polystyrene Oral Susp. 15gm/60ml","code_information":[{"code":"301398","type":"CDM"},{"code":"637","type":"RC"},{"code":"46287000660","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}],"drug_information":{"unit":60,"type":"ML"}},{"description":"Cortisol Totalquest","code_information":[{"code":"75017","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Clonazepamquest","code_information":[{"code":"75148","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Heavy Metalsblood (Mercury)","code_information":[{"code":"75217","type":"CDM"},{"code":"300","type":"RC"},{"code":"83825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Benzodiazepine Quant Serumquest","code_information":[{"code":"75683","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Cortisol Stim. Test  Test (3) Part 1","code_information":[{"code":"750312","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Cortisol Stim. Test  Test (3) Part 2","code_information":[{"code":"750313","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Cortisol Stim. Test  Test (3) Part 3","code_information":[{"code":"750314","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Flunitrazepam & Metab Qntquest","code_information":[{"code":"751873","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Dexamethasone Suppression Testquest","code_information":[{"code":"752513","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Cortisol Stim. Test  Part 1","code_information":[{"code":"752515","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Cortisol Stim. Test  Part 2","code_information":[{"code":"752516","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Pain Mgt Benzodiazepines Quant (Urine","code_information":[{"code":"757159","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Virus Inoculation, Shell Vial","code_information":[{"code":"757926","type":"CDM"},{"code":"300","type":"RC"},{"code":"87254","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Benzodiazepines; 1-12","code_information":[{"code":"758056","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw Canc.4.0mm Part Thrd 10mm","code_information":[{"code":"48600","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw Canc.4.0mm Part Thrd 12mm","code_information":[{"code":"48601","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48601","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw Canc.4.0mm Part Thrd 18mm","code_information":[{"code":"48604","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw Canc.4.0mm Part Thrd 22mm","code_information":[{"code":"48606","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48606","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Screw Canc.4.0mm Part Thrd 28mm","code_information":[{"code":"48909","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48909","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Cath Thoracic 20fr","code_information":[{"code":"49001","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"T-tube Deaver 12 Fr","code_information":[{"code":"49024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"T-tube Deaver 18 Fr","code_information":[{"code":"49340","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"T-tube Deaver 16 Fr","code_information":[{"code":"49719","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49719","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"T-tube Deaver 10 Fr","code_information":[{"code":"49770","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":171,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Tube Feeding W/bolus 8fr 45      (B4081)","code_information":[{"code":"49644","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49644","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Inject Therapeutic Carpal Tunnel Bilateral","code_information":[{"code":"CP17585600566671497","type":"CDM"},{"code":"521","type":"RC"},{"code":"20526","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Beta-2-microglobuln (Serumquest","code_information":[{"code":"75183","type":"CDM"},{"code":"300","type":"RC"},{"code":"82232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Vbgcord Blood","code_information":[{"code":"351128","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Hydroxyproline; Free  Total","code_information":[{"code":"750328","type":"CDM"},{"code":"300","type":"RC"},{"code":"83505","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Hiv-1/hiv-2 Western/immunoblot","code_information":[{"code":"751158","type":"CDM"},{"code":"300","type":"RC"},{"code":"86689","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Herpes 2","code_information":[{"code":"751181","type":"CDM"},{"code":"300","type":"RC"},{"code":"86696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Western Blot Reflex","code_information":[{"code":"751497","type":"CDM"},{"code":"300","type":"RC"},{"code":"86689","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Hiv-2 Reflex To Wetsern Blot","code_information":[{"code":"751654","type":"CDM"},{"code":"300","type":"RC"},{"code":"86689","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Rmsf Titer (Igg)","code_information":[{"code":"751794","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Rmsf Titer (Igm)","code_information":[{"code":"751795","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Typhus Igg Titer","code_information":[{"code":"751796","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":".Typhus Igm Titer","code_information":[{"code":"751797","type":"CDM"},{"code":"300","type":"RC"},{"code":"86757","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Tobramycin Peakquest","code_information":[{"code":"751965","type":"CDM"},{"code":"300","type":"RC"},{"code":"80200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Tobramycin Troughquest","code_information":[{"code":"751966","type":"CDM"},{"code":"300","type":"RC"},{"code":"80200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":156,"gross_charge":170,"discounted_cash":128,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":156},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":75}]}]},{"description":"Iv Set Epidural 123  Cadd-solis","code_information":[{"code":"47095","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Iv Set Pca 78  Cadd-solis","code_information":[{"code":"47987","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47987","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Cath Ureteral Cone Tip 8fr","code_information":[{"code":"49782","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Oxytocin 20units/lr 1000ml Premix Bags","code_information":[{"code":"304598","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3475","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Fat Emulsion(intralipid)20%:250ml","code_information":[{"code":"310025","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP310025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fitting & Insertion, Pessary/other Intra","code_information":[{"code":"CP17585600566636430","type":"CDM"},{"code":"521","type":"RC"},{"code":"57160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566711235","type":"CDM"},{"code":"521","type":"RC"},{"code":"99392","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Drain/inj-m D J T","code_information":[{"code":"CP17585603283915527-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20605","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Thyroglobulin;quant","code_information":[{"code":"750142","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Qn Thyroglobulin W/o Thyroglobulin Abs","code_information":[{"code":"750602","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Thyroglobulin Lc/ms/ms","code_information":[{"code":"758228","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Assay Of Thyroglobulin","code_information":[{"code":"758261","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":155,"gross_charge":169,"discounted_cash":127,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":155},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Cortisol Free","code_information":[{"code":"758622","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Tubing Central Venous Presure","code_information":[{"code":"49502","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49502","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Or Per Mintotal Knee","code_information":[{"code":"17600","type":"CDM"},{"code":"360","type":"RC"},{"code":"CP17600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Mdi Spacerhand Held Adult","code_information":[{"code":"60046","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Mumpsstatepcr","code_information":[{"code":"75558","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Methicillin Resistant Staph Aureus Pcr","code_information":[{"code":"751791","type":"CDM"},{"code":"300","type":"RC"},{"code":"87641","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Measles Virus Qual Pcr (Throat/nasophar)","code_information":[{"code":"752122","type":"CDM"},{"code":"300","type":"RC"},{"code":"87798","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Nfct Ds Bv Rna Vag Flu Alg","code_information":[{"code":"758668","type":"CDM"},{"code":"300","type":"RC"},{"code":"81513","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Candida Dna Amp Probe","code_information":[{"code":"758669","type":"CDM"},{"code":"300","type":"RC"},{"code":"87481","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":".Identification By Nucleic Acid Dna/rna","code_information":[{"code":"758769","type":"CDM"},{"code":"300","type":"RC"},{"code":"87150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":154,"gross_charge":168,"discounted_cash":126,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":154},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":74}]}]},{"description":"Dress Polyur. Foam Mepilex 6 X6","code_information":[{"code":"52050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":153,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Dress Polyur. Foam Ag Mepilex 4 X4","code_information":[{"code":"52187","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":153,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Dress Calcium-alginate 4x8 Sorbsan","code_information":[{"code":"52012","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52012","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":35,"maximum":153,"gross_charge":167,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":153},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566712315","type":"CDM"},{"code":"521","type":"RC"},{"code":"99393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"St Cognitive Performance Test Ea 1 Hr","code_information":[{"code":"55484-GN","type":"CDM"},{"code":"444","type":"RC"},{"code":"96125","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":".Arsenic","code_information":[{"code":"751571","type":"CDM"},{"code":"300","type":"RC"},{"code":"82175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Albuterol Inhaler Hfa   90mcg/inh 8gm","code_information":[{"code":"301872","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301872","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Guide Pin Ss 1.25mm X 150mm Thrd","code_information":[{"code":"48689","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48689","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Tube,flat Silic 3\\4'perf 7mm X 20cm","code_information":[{"code":"49715","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49715","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Cath Mushroom/pezzar 20fr        *Latex*","code_information":[{"code":"50209","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Cath Epidural 20g Polyamide/closed Tip","code_information":[{"code":"49063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":152,"gross_charge":166,"discounted_cash":125,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":152},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 12mm","code_information":[{"code":"52768","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52768","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 13mm","code_information":[{"code":"52769","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52769","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 14mm","code_information":[{"code":"52770","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 18mm","code_information":[{"code":"52773","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Lp Non -Locking 2.7mm X 26mm","code_information":[{"code":"52777","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52777","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm  6mm","code_information":[{"code":"48740","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48740","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm  7mm","code_information":[{"code":"48741","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48741","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm  8mm","code_information":[{"code":"48742","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48742","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm  9mm","code_information":[{"code":"48743","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48743","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm 10mm","code_information":[{"code":"48744","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48744","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm 11mm","code_information":[{"code":"48745","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48745","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm 12mm","code_information":[{"code":"48746","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48746","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm 14mm","code_information":[{"code":"48747","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.1.5mm 16mm","code_information":[{"code":"48748","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm  6mm","code_information":[{"code":"48750","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48750","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm  8mm","code_information":[{"code":"48751","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48751","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 10mm","code_information":[{"code":"48752","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48752","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 12mm","code_information":[{"code":"48753","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48753","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 14mm","code_information":[{"code":"48754","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48754","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 16mm","code_information":[{"code":"48755","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 18mm","code_information":[{"code":"48756","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48756","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.2.0mm 20mm","code_information":[{"code":"48757","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 38mm","code_information":[{"code":"50560","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP50560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Debridement 20cm/<","code_information":[{"code":"CP17585600566605734","type":"CDM"},{"code":"521","type":"RC"},{"code":"97597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Nursing Facility Discharge Day Managemen","code_information":[{"code":"CP17585600566688585","type":"CDM"},{"code":"521","type":"RC"},{"code":"99315","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Office/op Visit, New Pt, 3 Key Component","code_information":[{"code":"CP17585600566686306","type":"CDM"},{"code":"521","type":"RC"},{"code":"99202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Removal Impacted Cerumen (Sep Proc), Bilateral Pro","code_information":[{"code":"CP17585600566712674-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"69210","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Debridement 20cm/<","code_information":[{"code":"CP17585603283919084","type":"CDM"},{"code":"510","type":"RC"},{"code":"97597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Office/op Visit, New Pt, 3 Key Component","code_information":[{"code":"CP17585603283944881","type":"CDM"},{"code":"510","type":"RC"},{"code":"99202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Folate Rbcquest","code_information":[{"code":"75110","type":"CDM"},{"code":"300","type":"RC"},{"code":"82747","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":151,"gross_charge":165,"discounted_cash":124,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":151},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":73}]}]},{"description":"Arm Elevator Universal","code_information":[{"code":"49273","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49273","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Hospital Discharge Day Management; Up To","code_information":[{"code":"CP17585600566662345","type":"CDM"},{"code":"521","type":"RC"},{"code":"99238","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Osteopathic Manipulation (7-8 Body Regions)","code_information":[{"code":"CP17585600566685645","type":"CDM"},{"code":"521","type":"RC"},{"code":"98928","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Hospital Discharge Day Management; Up To","code_information":[{"code":"CP17585603283935545","type":"CDM"},{"code":"510","type":"RC"},{"code":"99238","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Observation Care Discharge Day Mgt","code_information":[{"code":"CP17585603283946838","type":"CDM"},{"code":"510","type":"RC"},{"code":"99217","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"24h Ur Fsh  Quest","code_information":[{"code":"75033","type":"CDM"},{"code":"300","type":"RC"},{"code":"83001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":".Lyme Disease Antibody","code_information":[{"code":"75390","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Apolipoprotein Bquest","code_information":[{"code":"750610","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Apolipoprotein A1quest","code_information":[{"code":"750611","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":".Apolipoprotein, Each","code_information":[{"code":"750795","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Inhibin Aquest","code_information":[{"code":"751274","type":"CDM"},{"code":"300","type":"RC"},{"code":"86336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Vma (Vanillylmandelic Acid) Random Urin","code_information":[{"code":"751743","type":"CDM"},{"code":"300","type":"RC"},{"code":"84585","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":".Inhibin A","code_information":[{"code":"752497","type":"CDM"},{"code":"300","type":"RC"},{"code":"86336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":".Assay Of Apolipoprotein, Each","code_information":[{"code":"757301","type":"CDM"},{"code":"300","type":"RC"},{"code":"82172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":150,"gross_charge":164,"discounted_cash":123,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":150},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Ventilator Bi-pap Circuit Non-invasive","code_information":[{"code":"60360","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":149,"gross_charge":163,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":149},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":72}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585600566689913","type":"CDM"},{"code":"521","type":"RC"},{"code":"99213","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:e","code_information":[{"code":"CP17585600566713634","type":"CDM"},{"code":"521","type":"RC"},{"code":"99232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585603283949949","type":"CDM"},{"code":"510","type":"RC"},{"code":"99213","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:e","code_information":[{"code":"CP17585603283953889","type":"CDM"},{"code":"510","type":"RC"},{"code":"99232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Ot Massage","code_information":[{"code":"55249-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97124","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Nllcompatibility Test ,Ea Unit, Ahg","code_information":[{"code":"750949","type":"CDM"},{"code":"300","type":"RC"},{"code":"86922","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Clozapine & Metab S/p Qntnll","code_information":[{"code":"751254","type":"CDM"},{"code":"300","type":"RC"},{"code":"80159","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Clozapinequest","code_information":[{"code":"751315","type":"CDM"},{"code":"300","type":"RC"},{"code":"80159","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Cadmiumquest","code_information":[{"code":"751619","type":"CDM"},{"code":"300","type":"RC"},{"code":"82300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Nicotine & Cotinine Serumquest","code_information":[{"code":"751893","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Dress Polyur.foam Sacrum W/brdr Mepilex","code_information":[{"code":"52129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Stein.pin Nthrd 4.0mm(5/32 )X229mm(9 )","code_information":[{"code":"48475","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48475","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Stein.pin Nthrd 4.8mm(3/16 )X229mm(9 )","code_information":[{"code":"48476","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48476","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":34,"maximum":148,"gross_charge":162,"discounted_cash":122,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":148},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Bilateral Sm Joint","code_information":[{"code":"CP17585600566609580-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"20600","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Hepatitis A Vaccine, Pediatric/adolescen","code_information":[{"code":"CP17585600566632749","type":"CDM"},{"code":"521","type":"RC"},{"code":"90633","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Injection Small Joint With Ultrasound Guidance With Permanent Recording","code_information":[{"code":"CP17585600566675015","type":"CDM"},{"code":"521","type":"RC"},{"code":"20604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Bilateral Sm Joint","code_information":[{"code":"CP17585603283919418-50","type":"CDM"},{"code":"510","type":"RC"},{"code":"20600","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Injection Small Joint With Ultrasound Guidance With Permanent Recording","code_information":[{"code":"CP17585603283947039","type":"CDM"},{"code":"510","type":"RC"},{"code":"20604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Platelet Ab Indirect    Quest","code_information":[{"code":"750560","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Factor Ag Von Willebrandquest","code_information":[{"code":"750601","type":"CDM"},{"code":"300","type":"RC"},{"code":"85246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Leptospira Ab Titer","code_information":[{"code":"750916","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"751530","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"751532","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Platelet Antibodies","code_information":[{"code":"751815","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":"Ristocetin Cofactor Activityquest","code_information":[{"code":"751953","type":"CDM"},{"code":"300","type":"RC"},{"code":"85245","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Factor Viii, Vw Factor Antigen","code_information":[{"code":"752102","type":"CDM"},{"code":"300","type":"RC"},{"code":"85245","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Factor Viii, Vw Factor Antigen","code_information":[{"code":"752103","type":"CDM"},{"code":"300","type":"RC"},{"code":"85246","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Factor Viii, Von Willebrand Factor, Mul","code_information":[{"code":"752104","type":"CDM"},{"code":"300","type":"RC"},{"code":"85247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Plt Hla Leukore Irr Charge, Apheresis","code_information":[{"code":"752481","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Plt Crossmatch Irr Charge, Apheresis","code_information":[{"code":"752484","type":"CDM"},{"code":"300","type":"RC"},{"code":"86022","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":147,"gross_charge":161,"discounted_cash":121,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":147},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":71}]}]},{"description":".Assay Of Prostaglandin","code_information":[{"code":"758675","type":"CDM"},{"code":"300","type":"RC"},{"code":"84150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 14mm","code_information":[{"code":"48770","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48770","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 16mm","code_information":[{"code":"48771","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48771","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 18mm","code_information":[{"code":"48772","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48772","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 24mm","code_information":[{"code":"48775","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48775","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 28mm","code_information":[{"code":"48777","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48777","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 30mm","code_information":[{"code":"48778","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 44mm","code_information":[{"code":"48785","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 48mm","code_information":[{"code":"48787","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48787","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 50mm","code_information":[{"code":"48788","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48788","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 52mm","code_information":[{"code":"48789","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48789","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 54mm","code_information":[{"code":"48790","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48790","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 56mm","code_information":[{"code":"48791","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48791","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 58mm","code_information":[{"code":"48792","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48792","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 60mm","code_information":[{"code":"48793","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 64mm","code_information":[{"code":"48794","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48794","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 70mm","code_information":[{"code":"48795","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48795","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Cath Cholangiocath 16gx30","code_information":[{"code":"49116","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49116","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 26mm","code_information":[{"code":"52395","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52395","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 34mm","code_information":[{"code":"52396","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.4.5mm 36mm","code_information":[{"code":"52397","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"29515 App Lower Leg Splint(calf-foot)","code_information":[{"code":"CP17585603283892770","type":"CDM"},{"code":"510","type":"RC"},{"code":"29515","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"T3 Reverse","code_information":[{"code":"751744","type":"CDM"},{"code":"300","type":"RC"},{"code":"84482","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":146,"gross_charge":160,"discounted_cash":120,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":146},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Filter Insp/vent 760","code_information":[{"code":"60175","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60175","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":159,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Dtap-hepb-ipv","code_information":[{"code":"CP17585600566613510","type":"CDM"},{"code":"521","type":"RC"},{"code":"90723","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Varicella Virus Vaccine, Live, Subq Use","code_information":[{"code":"CP17585600566720182","type":"CDM"},{"code":"521","type":"RC"},{"code":"90716","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Hcgserum Quant","code_information":[{"code":"35035","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Estriolnon Pregnant","code_information":[{"code":"75029","type":"CDM"},{"code":"300","type":"RC"},{"code":"82677","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Hcg Tumor Markercrh","code_information":[{"code":"350107","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Hiv-1/2 Ag/ab Scrnexposure- Source Pt","code_information":[{"code":"351148","type":"CDM"},{"code":"301","type":"RC"},{"code":"87806","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Intrinsic Factor Blocking Abquest","code_information":[{"code":"750550","type":"CDM"},{"code":"300","type":"RC"},{"code":"86340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Fructosaminequest","code_information":[{"code":"750655","type":"CDM"},{"code":"300","type":"RC"},{"code":"82985","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Antibody Identification, Leukocyte Ab","code_information":[{"code":"750831","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Antibody Id;  Leukocyte Antibody","code_information":[{"code":"750832","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Myeloperoxidase Abquest","code_information":[{"code":"750846","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Estroil","code_information":[{"code":"750957","type":"CDM"},{"code":"300","type":"RC"},{"code":"82677","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Hcg Quant","code_information":[{"code":"750958","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Anca Screen W/reflex To Titerquest","code_information":[{"code":"750983","type":"CDM"},{"code":"302","type":"RC"},{"code":"86036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Chromatography, Quant-single Analyte","code_information":[{"code":"751165","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Quant Hplc For 6-thioguanine","code_information":[{"code":"751232","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Hcg Tumor Markerquest","code_information":[{"code":"751355","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Rabies Vaccine Responsequest","code_information":[{"code":"751951","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Proteinase-3 Antibody Quest","code_information":[{"code":"752495","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Enzymatic Activity In Blood Cells, Cult","code_information":[{"code":"752499","type":"CDM"},{"code":"300","type":"RC"},{"code":"82657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Chromatography, Qnt, Coulmn (Eg, Gas Li","code_information":[{"code":"752500","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Hiv-1/2 Ag & Abs, 4th Gen, W/ Rflxqu","code_information":[{"code":"757202","type":"CDM"},{"code":"300","type":"RC"},{"code":"83789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Hemoglobinopathy Evaluation","code_information":[{"code":"757236","type":"CDM"},{"code":"300","type":"RC"},{"code":"83021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Coenzyme Q10quest","code_information":[{"code":"757318","type":"CDM"},{"code":"300","type":"RC"},{"code":"82542","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Immunoassay, Infectious Agent","code_information":[{"code":"757949","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Haemophilus Influenzae B","code_information":[{"code":"757952","type":"CDM"},{"code":"300","type":"RC"},{"code":"86684","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Immunoassay, Infectious Agent","code_information":[{"code":"758076","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Maternal Screening Integrated #1arup","code_information":[{"code":"758091","type":"CDM"},{"code":"300","type":"RC"},{"code":"84163","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Antibody Identification; Leukocyte Anti","code_information":[{"code":"758139","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Estriol Serumquest","code_information":[{"code":"758271","type":"CDM"},{"code":"300","type":"RC"},{"code":"82677","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Dress Sorbalgon Silver 4x4","code_information":[{"code":"52981","type":"CDM"},{"code":"270","type":"RC"},{"code":"A6209","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm  6mm","code_information":[{"code":"48760","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm  8mm","code_information":[{"code":"48761","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 10mm","code_information":[{"code":"48762","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48762","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 12mm","code_information":[{"code":"48763","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48763","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 14mm","code_information":[{"code":"48764","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 16mm","code_information":[{"code":"48765","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 18mm","code_information":[{"code":"48766","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48766","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 20mm","code_information":[{"code":"48767","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48767","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 22mm","code_information":[{"code":"48768","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48768","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Screw Cort.2.7mm 24mm","code_information":[{"code":"48769","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48769","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Streptococcus Group B Dna (Pcr)quest","code_information":[{"code":"758672","type":"CDM"},{"code":"300","type":"RC"},{"code":"87653","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Ortho Pulsavac Plus Component Kit","code_information":[{"code":"52508","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Assay Of Thyroglobulin","code_information":[{"code":"758037","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":".Thyroglobulin Antibody","code_information":[{"code":"758038","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":33,"maximum":145,"gross_charge":158,"discounted_cash":119,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":145},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":70}]}]},{"description":"Sling And Swath Size Universal","code_information":[{"code":"49423","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49423","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Artrl Wrist Support Pediatric","code_information":[{"code":"49683","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49683","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Pt Iontophoresis","code_information":[{"code":"55332-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97033","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Ot Iontophoresis","code_information":[{"code":"55334-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97033","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Ena, Anti-extractable Nuclear Agfbr","code_information":[{"code":"75280","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Vitamin B12","code_information":[{"code":"351147","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Immunofixation","code_information":[{"code":"750512","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Immunofixation Electrophoresis","code_information":[{"code":"750764","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Special Stain For Incluion Bodies","code_information":[{"code":"751411","type":"CDM"},{"code":"300","type":"RC"},{"code":"87209","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Immunofixation, Serum      Quest","code_information":[{"code":"751452","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Cryoglobulin Immunoelectrophoresis","code_information":[{"code":"751658","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Immunofixation Serumquest","code_information":[{"code":"751774","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Ethylene Glycolquest","code_information":[{"code":"751854","type":"CDM"},{"code":"300","type":"RC"},{"code":"82693","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Gamma Hydroxybutyric Acid Urineques","code_information":[{"code":"751899","type":"CDM"},{"code":"301","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Immunofixation Electrophoresis","code_information":[{"code":"752033","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Factor Viii (Ahg), 1-stage","code_information":[{"code":"752101","type":"CDM"},{"code":"300","type":"RC"},{"code":"85240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Immunofixation, Serum","code_information":[{"code":"757131","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Serum Immunofixation; Reflex For Bl3","code_information":[{"code":"757199","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Drug Monitoring Ketamine Qnt Urineque","code_information":[{"code":"757989","type":"CDM"},{"code":"301","type":"RC"},{"code":"80357","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Iv Set Pca W/y-extn Cadd-solis","code_information":[{"code":"47988","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47988","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Blanket Bair Hugger Full Body Multiacces","code_information":[{"code":"49054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Blanket Bair Hugger Warming  30000","code_information":[{"code":"53225","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Risedronate(actonel) Tab: 35 Mg","code_information":[{"code":"304045","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":144,"gross_charge":157,"discounted_cash":118,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":144},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cobaltserum/plasmaquest","code_information":[{"code":"758016","type":"CDM"},{"code":"300","type":"RC"},{"code":"83018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585600566725816","type":"CDM"},{"code":"521","type":"RC"},{"code":"99308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585603283951662","type":"CDM"},{"code":"510","type":"RC"},{"code":"99308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Cfp (Cerebrospinal Fluid Protein)","code_information":[{"code":"35265","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Evacuation Of Subungual Hematoma","code_information":[{"code":"65306","type":"CDM"},{"code":"450","type":"RC"},{"code":"11740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Application Of Short Arm Splint","code_information":[{"code":"65352","type":"CDM"},{"code":"450","type":"RC"},{"code":"29125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Removal Fb Intranasal","code_information":[{"code":"65358","type":"CDM"},{"code":"450","type":"RC"},{"code":"30300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Control Nasal Hemorrhage Ant Simple","code_information":[{"code":"65359","type":"CDM"},{"code":"450","type":"RC"},{"code":"30901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Control Nasal Hemorrhage Ant Complex","code_information":[{"code":"65360","type":"CDM"},{"code":"450","type":"RC"},{"code":"30903","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Coll Of Blood Est Cent/peri Venous Cath","code_information":[{"code":"65369","type":"CDM"},{"code":"450","type":"RC"},{"code":"36592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Dng Of Absc/cyst/hmatma Dentoalveolar","code_information":[{"code":"65374","type":"CDM"},{"code":"450","type":"RC"},{"code":"41800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Anoscopy Diagnostic W Or W/o Specimen","code_information":[{"code":"65379","type":"CDM"},{"code":"450","type":"RC"},{"code":"46600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Insertion Of Non-dwelling Bladder Cath","code_information":[{"code":"65380","type":"CDM"},{"code":"450","type":"RC"},{"code":"51701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Insertion Of Temp Indwelling Bldr Cath","code_information":[{"code":"65381","type":"CDM"},{"code":"450","type":"RC"},{"code":"51702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Removal Fb External Eye Conjun/superf","code_information":[{"code":"65387","type":"CDM"},{"code":"450","type":"RC"},{"code":"65205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Removal Fb Corneal W/o Slit Lamp","code_information":[{"code":"65388","type":"CDM"},{"code":"450","type":"RC"},{"code":"65220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Removal Fb Corneal W/ Slit Lamp","code_information":[{"code":"65389","type":"CDM"},{"code":"450","type":"RC"},{"code":"65222","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Removal Fb External Auditory Canal","code_information":[{"code":"65390","type":"CDM"},{"code":"450","type":"RC"},{"code":"69200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Clavicle/shoulder Immobilizer","code_information":[{"code":"65454","type":"CDM"},{"code":"450","type":"RC"},{"code":"29240","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Knee Immobilizer","code_information":[{"code":"65457","type":"CDM"},{"code":"450","type":"RC"},{"code":"29530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Epistaxsis Control Posterior","code_information":[{"code":"65460","type":"CDM"},{"code":"450","type":"RC"},{"code":"30905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Collection Of Blood Via Implantable Dev","code_information":[{"code":"65470","type":"CDM"},{"code":"450","type":"RC"},{"code":"36591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Repair Tongue Laceration","code_information":[{"code":"65524","type":"CDM"},{"code":"450","type":"RC"},{"code":"41250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Dhea Sulfatequest","code_information":[{"code":"75151","type":"CDM"},{"code":"300","type":"RC"},{"code":"82627","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Hirsutism Panel 2 (Dhea-s)","code_information":[{"code":"75658","type":"CDM"},{"code":"300","type":"RC"},{"code":"82627","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Protein Elect Other Fluid Urine Csf Que","code_information":[{"code":"751366","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Dhea-s","code_information":[{"code":"751758","type":"CDM"},{"code":"300","type":"RC"},{"code":"82627","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Protein-electro-fract And Quant (Urine,","code_information":[{"code":"752036","type":"CDM"},{"code":"300","type":"RC"},{"code":"84166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Thyroxine Binding Globulinquest","code_information":[{"code":"752120","type":"CDM"},{"code":"300","type":"RC"},{"code":"84442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":"Dress Collagen-matrix 4.34sq.in. Prism","code_information":[{"code":"52250","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52250","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":143,"gross_charge":156,"discounted_cash":117,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":143},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":69}]}]},{"description":".Leukoreduced Additional Charge Each","code_information":[{"code":"22006","type":"CDM"},{"code":"390","type":"RC"},{"code":"CP22006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Express Braid Single Blue/white","code_information":[{"code":"53091","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Express Braid Single White","code_information":[{"code":"53092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Porphyrins Urine Fract Qntquest","code_information":[{"code":"75709","type":"CDM"},{"code":"300","type":"RC"},{"code":"84120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Folate","code_information":[{"code":"351146","type":"CDM"},{"code":"300","type":"RC"},{"code":"82746","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Arc Ab Id/each Panel & Media","code_information":[{"code":"750728","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Nllantibody Id, Each Panel","code_information":[{"code":"750933","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Nllcompatibility Test ,Ea Unit, Is","code_information":[{"code":"750947","type":"CDM"},{"code":"300","type":"RC"},{"code":"86920","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Ab,id,ribc Ab-each Panel","code_information":[{"code":"751096","type":"CDM"},{"code":"300","type":"RC"},{"code":"86870","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Porphyrins (Fract-qnt) 24hr Urquest","code_information":[{"code":"751589","type":"CDM"},{"code":"300","type":"RC"},{"code":"84120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Phencyclidine By Gc/ms Urinequest","code_information":[{"code":"757988","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Each Additional Single Antibody Stain P","code_information":[{"code":"758089","type":"CDM"},{"code":"319","type":"RC"},{"code":"88350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Aspergillus Antibody","code_information":[{"code":"758342","type":"CDM"},{"code":"300","type":"RC"},{"code":"86606","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":142,"gross_charge":155,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":142},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Sm/rnp Antibodyquest","code_information":[{"code":"758858","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Chromatin (Nucleosomal)quest","code_information":[{"code":"758859","type":"CDM"},{"code":"300","type":"RC"},{"code":"86235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Dress Collagen-alginate 4x4 3/8 Fibracol","code_information":[{"code":"50011","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Saw Blade Oscill. 19.5mm X 71mm X 0.8mm","code_information":[{"code":"48460","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Hepatitis D Virus Ab Totalquest","code_information":[{"code":"758807","type":"CDM"},{"code":"300","type":"RC"},{"code":"86692","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":".Pain Mgt Barbiturates Quant (Urine)","code_information":[{"code":"757158","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":141,"gross_charge":154,"discounted_cash":116,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":141},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":68}]}]},{"description":"Albuterol Inhaler Hfa   90mcg/inh 6.7gm","code_information":[{"code":"312133-28","type":"CDM"},{"code":"637","type":"RC"},{"code":"54074","type":"CPT","modifier":"28"}],"standard_charges":[{"setting":"outpatient","modifier_code":["28"],"minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Calcitonin Nasal Spray 3.7ml Bottle","code_information":[{"code":"304128","type":"CDM"},{"code":"637","type":"RC"},{"code":"49884016111","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":37,"type":"ML"}},{"description":"Haloperidol  Oral Soln. 30mg/15ml","code_information":[{"code":"300749","type":"CDM"},{"code":"637","type":"RC"},{"code":"12105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Medihoney 44ml Tube","code_information":[{"code":"305867","type":"CDM"},{"code":"637","type":"RC"},{"code":"9958003361","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":44,"type":"ML"}},{"description":"Vancomycin Oral Liquid 25mg/ml","code_information":[{"code":"304270","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Albuterol Inhaler Hfa   90mcg/inh 6.7gm","code_information":[{"code":"312133","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Acetic Acid 5% Soln 500ml","code_information":[{"code":"312778","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312778","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paternity Testing","code_information":[{"code":"350005","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP350005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Ammonia","code_information":[{"code":"35038","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Tegretol","code_information":[{"code":"35045","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Angiotensin Converting Enzymequest","code_information":[{"code":"75173","type":"CDM"},{"code":"300","type":"RC"},{"code":"82164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Thyroid Peroxidase Antibodiesquest","code_information":[{"code":"75237","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Thyroid Microsomal Antibody","code_information":[{"code":"75242","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Haloperidolquest","code_information":[{"code":"75648","type":"CDM"},{"code":"300","type":"RC"},{"code":"80173","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Helicobacter Pylori; Qualitative","code_information":[{"code":"75678","type":"CDM"},{"code":"300","type":"RC"},{"code":"86677","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Carbamazepine","code_information":[{"code":"351173","type":"CDM"},{"code":"300","type":"RC"},{"code":"80156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Thyroid Ab & Thyroid Peroxidase Ab P-2","code_information":[{"code":"750217","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Stone Renal Formation Diag.profile P-2","code_information":[{"code":"750220","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Liver Kidney Microsomal, Iggquest","code_information":[{"code":"750661","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Prealbuminquest","code_information":[{"code":"750798","type":"CDM"},{"code":"300","type":"RC"},{"code":"84134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Anti-kidney Liver Microsomequest","code_information":[{"code":"751051","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Microsomal Antibodies (Eg Thyroid Or Li","code_information":[{"code":"751741","type":"CDM"},{"code":"300","type":"RC"},{"code":"86376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Assay Of Ammonia","code_information":[{"code":"757931","type":"CDM"},{"code":"300","type":"RC"},{"code":"82140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":32,"maximum":140,"gross_charge":153,"discounted_cash":115,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":140},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw Canc.4.0mm Part Thrd 20mm","code_information":[{"code":"48605","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw Canc.4.0mm Part Thrd 26mm","code_information":[{"code":"48608","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48608","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw Canc.4.0mm Part Thrd 30mm","code_information":[{"code":"48610","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw Canc.4.0mm Part Thrd 35mm","code_information":[{"code":"48611","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48611","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Screw Canc.4.0mm Part Thrd 40mm","code_information":[{"code":"48612","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Opt Bipolar Cautery Pencil 18g","code_information":[{"code":"49975","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49975","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Sodium Zirconium Cyclosilicate 10g Pkt","code_information":[{"code":"312205","type":"CDM"},{"code":"637","type":"RC"},{"code":"31011","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}],"drug_information":{"unit":10,"type":"GR"}},{"description":"Periodic Preventive Medicine E&m W/ Comp","code_information":[{"code":"CP17585600566711690","type":"CDM"},{"code":"521","type":"RC"},{"code":"99391","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Rubellastate Lab","code_information":[{"code":"75064","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Toxoplasmosis; Titerigg","code_information":[{"code":"75069","type":"CDM"},{"code":"302","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Pyruvic Acidnll (Arup)","code_information":[{"code":"750444","type":"CDM"},{"code":"300","type":"RC"},{"code":"84210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Rubella Immune Statusquest","code_information":[{"code":"750665","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Cytomegalovirus Ab Panel Igg-igm Quest","code_information":[{"code":"750799","type":"CDM"},{"code":"300","type":"RC"},{"code":"86644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Hsv Igg","code_information":[{"code":"750925","type":"CDM"},{"code":"300","type":"RC"},{"code":"86694","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Alpha 1 Antitrypsin-phenotype-quest","code_information":[{"code":"751057","type":"CDM"},{"code":"300","type":"RC"},{"code":"82104","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Cmv  State Lab","code_information":[{"code":"751125","type":"CDM"},{"code":"300","type":"RC"},{"code":"86644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Herpes Simplex Virus","code_information":[{"code":"751126","type":"CDM"},{"code":"300","type":"RC"},{"code":"86694","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Rubella State Lab","code_information":[{"code":"751127","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Toxo.  State Lab","code_information":[{"code":"751128","type":"CDM"},{"code":"302","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Toxoplasma","code_information":[{"code":"751406","type":"CDM"},{"code":"302","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Toxoplasma Igm","code_information":[{"code":"751407","type":"CDM"},{"code":"300","type":"RC"},{"code":"86778","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Cytomegalovirus (Cmv), Igg","code_information":[{"code":"751738","type":"CDM"},{"code":"300","type":"RC"},{"code":"86644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Cytomegalovirus Antibodies, Igg","code_information":[{"code":"752000","type":"CDM"},{"code":"300","type":"RC"},{"code":"86644","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Rubella Virus Antibodies Igg","code_information":[{"code":"752003","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Toxoplasma Gondii Igg Ab, Eia","code_information":[{"code":"752004","type":"CDM"},{"code":"302","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Stratify Jcv(tm) Ab Inhib Assay","code_information":[{"code":"752496","type":"CDM"},{"code":"300","type":"RC"},{"code":"86711","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".West Nile Virus","code_information":[{"code":"757311","type":"CDM"},{"code":"300","type":"RC"},{"code":"86789","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":".Culture, Tubercle Or Other Acid Fast Ba","code_information":[{"code":"758131","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Stratify Jcv Ab W/ Rflx To Inhibition","code_information":[{"code":"758156","type":"CDM"},{"code":"300","type":"RC"},{"code":"86711","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Toxoplasma Antibody (Igg)quest","code_information":[{"code":"7501020","type":"CDM"},{"code":"302","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Toxoplasma Antibody (Igm)quest","code_information":[{"code":"7501021","type":"CDM"},{"code":"300","type":"RC"},{"code":"86778","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Tray Lumbar Puncture Pediatric","code_information":[{"code":"49364","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":139,"gross_charge":152,"discounted_cash":114,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":139},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":67}]}]},{"description":"Ceruloplasminquest","code_information":[{"code":"75150","type":"CDM"},{"code":"300","type":"RC"},{"code":"82390","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Cmvigg Antibodies (Cytomegalovirus)","code_information":[{"code":"75152","type":"CDM"},{"code":"300","type":"RC"},{"code":"86645","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Zinc Protoporphyrin (Zpp)quest","code_information":[{"code":"750140","type":"CDM"},{"code":"300","type":"RC"},{"code":"84202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Protein S Activityquest","code_information":[{"code":"750164","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Lyme Disease Ab W/ Rfx To Blot Igg Igm","code_information":[{"code":"750520","type":"CDM"},{"code":"300","type":"RC"},{"code":"86618","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Cytomegalovirus Igmquest","code_information":[{"code":"750621","type":"CDM"},{"code":"300","type":"RC"},{"code":"86645","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Epstein Bar Igm Csf Quest","code_information":[{"code":"750622","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Electrophoretic Fractionation, Quantatio","code_information":[{"code":"750694","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Epstein Bar Viral Capsid Ag Iggquest","code_information":[{"code":"750808","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Epstein Bar Viral Capsid Ag Igmquest","code_information":[{"code":"750829","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Catecholamines","code_information":[{"code":"751076","type":"CDM"},{"code":"300","type":"RC"},{"code":"82382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Protein Elect Fract. Quant Serum","code_information":[{"code":"751347","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Protein;electrophoretic Frac.&quant.","code_information":[{"code":"751363","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Epstein-barr Virus, Nuclear Antigen","code_information":[{"code":"751583","type":"CDM"},{"code":"300","type":"RC"},{"code":"86664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Epstein-barr Virus, Viral Capsid","code_information":[{"code":"751584","type":"CDM"},{"code":"300","type":"RC"},{"code":"86665","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Cytomegalovirus (Cmv), Igm","code_information":[{"code":"751739","type":"CDM"},{"code":"300","type":"RC"},{"code":"86645","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"751915","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Assay Of Serum Proteins","code_information":[{"code":"752032","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Each Additional Marker","code_information":[{"code":"752048","type":"CDM"},{"code":"311","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Protein; Electrophoretic Fractionation","code_information":[{"code":"757130","type":"CDM"},{"code":"300","type":"RC"},{"code":"84165","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".West Nile Virus, Igm","code_information":[{"code":"757310","type":"CDM"},{"code":"300","type":"RC"},{"code":"86788","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758137","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Protein S Antigen Freequest","code_information":[{"code":"758149","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758169","type":"CDM"},{"code":"300","type":"RC"},{"code":"85306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":138,"gross_charge":151,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":138},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Fungus, Not Elsewhere Specified","code_information":[{"code":"758140","type":"CDM"},{"code":"300","type":"RC"},{"code":"86671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":137,"gross_charge":150,"discounted_cash":113,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":137},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Lactic Acid","code_information":[{"code":"351122","type":"CDM"},{"code":"300","type":"RC"},{"code":"83605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Hiv-1 Rna Quantpart 4","code_information":[{"code":"750004","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Carnitine Lc/ms/msquest","code_information":[{"code":"750016","type":"CDM"},{"code":"300","type":"RC"},{"code":"82379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Vitamin E (Tocopherol)quest","code_information":[{"code":"750080","type":"CDM"},{"code":"300","type":"RC"},{"code":"84446","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"T3 Total","code_information":[{"code":"750570","type":"CDM"},{"code":"300","type":"RC"},{"code":"84480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Hu Ab Western Blot","code_information":[{"code":"751111","type":"CDM"},{"code":"300","type":"RC"},{"code":"84181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Amino Acids, 6 Or More Amino Acids, Qnt","code_information":[{"code":"751162","type":"CDM"},{"code":"300","type":"RC"},{"code":"82139","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Inhibin Bquest","code_information":[{"code":"751291","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Acylcarnitine  Quest","code_information":[{"code":"751505","type":"CDM"},{"code":"300","type":"RC"},{"code":"82017","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Amino Acid Analysis Plasmaquest","code_information":[{"code":"751506","type":"CDM"},{"code":"300","type":"RC"},{"code":"82139","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Hsv 1&2, Western Blotwashington","code_information":[{"code":"751691","type":"CDM"},{"code":"300","type":"RC"},{"code":"84181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Alpha Subunitquest","code_information":[{"code":"751771","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Interpertation And Report","code_information":[{"code":"751820","type":"CDM"},{"code":"311","type":"RC"},{"code":"88187","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Interperpertation And Report","code_information":[{"code":"751823","type":"CDM"},{"code":"311","type":"RC"},{"code":"88187","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Igf Binding Protein-3 (Igfbp-3)quest","code_information":[{"code":"751850","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Yo Antibody, Western Blot","code_information":[{"code":"757058","type":"CDM"},{"code":"300","type":"RC"},{"code":"84181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Anti-mullerian Hormone (Male)quest","code_information":[{"code":"758150","type":"CDM"},{"code":"300","type":"RC"},{"code":"82166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Anti-mullerian Hormone (Female)quest","code_information":[{"code":"758151","type":"CDM"},{"code":"300","type":"RC"},{"code":"82166","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Chemiluminescent Assay","code_information":[{"code":"758173","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Hmgcr Antibody (Igg)quest","code_information":[{"code":"758337","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Pneumocystis Jirovecii Dnaquest","code_information":[{"code":"757107","type":"CDM"},{"code":"300","type":"RC"},{"code":"87594","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Chlamydia Pneum Dna Probe","code_information":[{"code":"758832","type":"CDM"},{"code":"300","type":"RC"},{"code":"87486","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Mycoplasma Pneumo Dna Probe","code_information":[{"code":"758833","type":"CDM"},{"code":"300","type":"RC"},{"code":"87581","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Casting Splint 3x12 Scotchcast","code_information":[{"code":"50135","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":".Titer To Endomysial Ab (Iga)","code_information":[{"code":"751640","type":"CDM"},{"code":"300","type":"RC"},{"code":"86231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":136,"gross_charge":149,"discounted_cash":112,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":136},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":66}]}]},{"description":"Splint Wrist Support Short Medium","code_information":[{"code":"50252","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3999","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Pap Smear Manual Screening","code_information":[{"code":"17009","type":"CDM"},{"code":"311","type":"RC"},{"code":"88150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Cardio Stress Test W/ecg Monitoring","code_information":[{"code":"60399","type":"CDM"},{"code":"410","type":"RC"},{"code":"93018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Blood test, comprehensive group of blood chemicals","code_information":[{"code":"350046","type":"CDM"},{"code":"301","type":"RC"},{"code":"80053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Stone Renal Formation Diag.profile P-7","code_information":[{"code":"750225","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Metanephrines","code_information":[{"code":"751081","type":"CDM"},{"code":"300","type":"RC"},{"code":"83835","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Neutralization Test, Viral","code_information":[{"code":"751525","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Cytopathology Slides Cer/vag Manual","code_information":[{"code":"751567","type":"CDM"},{"code":"311","type":"RC"},{"code":"88164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Cryoglobulin Immunodiffusion","code_information":[{"code":"751659","type":"CDM"},{"code":"300","type":"RC"},{"code":"86329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Magnesium","code_information":[{"code":"751689","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Nabferon (Ifnb-1) Neutralizing Ab Test","code_information":[{"code":"752045","type":"CDM"},{"code":"300","type":"RC"},{"code":"86382","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Single, Quantitative, Each Specimen","code_information":[{"code":"752054","type":"CDM"},{"code":"300","type":"RC"},{"code":"82131","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Antibody; Hiv-2","code_information":[{"code":"757206","type":"CDM"},{"code":"300","type":"RC"},{"code":"86702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Magnesium 24-hour Urine (W/o Creat)","code_information":[{"code":"757248","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Hiv-2 Antibody","code_information":[{"code":"758423","type":"CDM"},{"code":"300","type":"RC"},{"code":"86702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Filter Hme/vent","code_information":[{"code":"60156","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":31,"maximum":135,"gross_charge":148,"discounted_cash":111,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Fine Needle Aspiration Biopsy, Including Ultrasound Guidance; First Lesion","code_information":[{"code":"CP17585603283910013","type":"CDM"},{"code":"510","type":"RC"},{"code":"10005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585600566602388","type":"CDM"},{"code":"521","type":"RC"},{"code":"17000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585603283912027","type":"CDM"},{"code":"510","type":"RC"},{"code":"17000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Blood test, thyroid stimulating hormone (TSH)","code_information":[{"code":"75070","type":"CDM"},{"code":"301","type":"RC"},{"code":"84443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Hepatitis Bsurface Antibody (Ali Emp)","code_information":[{"code":"75286","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Mycoplasma Pneumoniae Ab Iggquest","code_information":[{"code":"75298","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Mycoplasma Pneumoniae Ab Igmquest","code_information":[{"code":"75507","type":"CDM"},{"code":"300","type":"RC"},{"code":"86738","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Hep B Surface Ab Immunity Qntquest","code_information":[{"code":"75531","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 1","code_information":[{"code":"75750","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 2","code_information":[{"code":"75751","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 3","code_information":[{"code":"75752","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 4","code_information":[{"code":"75753","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 5","code_information":[{"code":"75754","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Coxsackie B Virus Part 6","code_information":[{"code":"75755","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Ifob","code_information":[{"code":"350120","type":"CDM"},{"code":"300","type":"RC"},{"code":"82274","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Thyroglobulin;antibodies","code_information":[{"code":"750141","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Thyroid Ab.& Thyroid Peroxidase Ab P-1","code_information":[{"code":"750216","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"24h Ur Cortisol Freequest","code_information":[{"code":"750543","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Hep B Surface Ab Quest","code_information":[{"code":"750574","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Each Coxsackie Antibody Type","code_information":[{"code":"751053","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Cortisol Free","code_information":[{"code":"751071","type":"CDM"},{"code":"300","type":"RC"},{"code":"82530","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Thyroglobulin Antibodiesquest","code_information":[{"code":"751148","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Thyroglobulin Ab","code_information":[{"code":"751192","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Poliovirus Ab 1","code_information":[{"code":"751489","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Poliovirus Ab 2","code_information":[{"code":"751490","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Poliovirus Ab 3","code_information":[{"code":"751491","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Enterovirus E.g. Coxsackie, Echo, Polio","code_information":[{"code":"751628","type":"CDM"},{"code":"300","type":"RC"},{"code":"86658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":".Thyroglobulin Antibody","code_information":[{"code":"751995","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Thyroid Cancer (Thyroglobulin) Monitorin","code_information":[{"code":"758258","type":"CDM"},{"code":"300","type":"RC"},{"code":"86800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Screw Canc.4.0mm Part Thrd 50mm","code_information":[{"code":"48614","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48614","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Cbi Burn Bedding Sterile","code_information":[{"code":"49096","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Pad K-thermia 12  X 17","code_information":[{"code":"49161","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Electrosurg Handswitch Pencil","code_information":[{"code":"49225","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":135,"gross_charge":147,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":135},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":65}]}]},{"description":"Permethrin 5% Cream 60gm Tube","code_information":[{"code":"311989","type":"CDM"},{"code":"637","type":"RC"},{"code":"21922002107","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Screw Cort.3.5mm Fine Thrd 12mm","code_information":[{"code":"48581","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48581","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 14mm","code_information":[{"code":"48582","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 32mm","code_information":[{"code":"48590","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48590","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 45mm","code_information":[{"code":"48593","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Hu Antibody Western Blot","code_information":[{"code":"758842","type":"CDM"},{"code":"300","type":"RC"},{"code":"84181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Inc Spirometer-disposable","code_information":[{"code":"60035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Paring/cutting, Benign Hyperkeratotic Le","code_information":[{"code":"CP17585600566717129","type":"CDM"},{"code":"521","type":"RC"},{"code":"11057","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Paring/cutting, Benign Hyperkeratotic Le","code_information":[{"code":"CP17585603283946989","type":"CDM"},{"code":"510","type":"RC"},{"code":"11057","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Cultureblood","code_information":[{"code":"35507","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"St Speech Group","code_information":[{"code":"55272-GN","type":"CDM"},{"code":"440","type":"RC"},{"code":"92508","type":"CPT","modifier":"GN"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GN"],"minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Hepatitis B Surface Ag W/ Rflx To Confir","code_information":[{"code":"75158","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Mycobacterium Blood Culturequest","code_information":[{"code":"750511","type":"CDM"},{"code":"300","type":"RC"},{"code":"87116","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Hbsag Confirmation","code_information":[{"code":"751300","type":"CDM"},{"code":"300","type":"RC"},{"code":"87341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Culture, Bacterial; Blood Aerobic, W/ I","code_information":[{"code":"757029","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":".Assay Of Phenytoin; Free","code_information":[{"code":"757322","type":"CDM"},{"code":"300","type":"RC"},{"code":"80186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Phenytoin Freequest","code_information":[{"code":"758339","type":"CDM"},{"code":"300","type":"RC"},{"code":"80186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":134,"gross_charge":146,"discounted_cash":110,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":134},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Stein.pin Nthrd 3.2mm(1/8 ) X229mm(9 )","code_information":[{"code":"48473","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48473","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Stein.pin Nthrd 3.6mm(9/64 )X229mm(9 )","code_information":[{"code":"48474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 16mm","code_information":[{"code":"48583","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48583","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Stirrup Pads Disposable","code_information":[{"code":"49033","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49033","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cath Cholangiocath 19gx15","code_information":[{"code":"49077","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cath Cholangiocath 16gx15","code_information":[{"code":"49078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Splint Wrist Support Right Medium","code_information":[{"code":"49093","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Tubing R-vct 1/4 X15 Prfx48","code_information":[{"code":"49733","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49733","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Tubing R-vct 3/16 X12 Prfx48","code_information":[{"code":"49734","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49734","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Endoscope Snare Active Cord Disp.","code_information":[{"code":"49781","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cath Ureteral Olive Tip 4fr","code_information":[{"code":"49783","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cath Ureteral Olive Tip 6fr","code_information":[{"code":"49828","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49828","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Cath Ureteral Olive Tip 5fr","code_information":[{"code":"49829","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49829","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Post-op Shoe Female Small Velcro","code_information":[{"code":"49915","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Kumar Cholangiography Catheter","code_information":[{"code":"52436","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"K-wire 1.60mm(0.062 )X152mm(6 ) Howmedic","code_information":[{"code":"48047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":133,"gross_charge":145,"discounted_cash":109,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":133},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":64}]}]},{"description":"Bss 500ml","code_information":[{"code":"47120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Ekg","code_information":[{"code":"36001","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Ekg Repeat (Same Day)","code_information":[{"code":"36008-76","type":"CDM"},{"code":"730","type":"RC"},{"code":"93005","type":"CPT","modifier":"76"}],"standard_charges":[{"setting":"outpatient","modifier_code":["76"],"minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cardiolipin Antibodyigg","code_information":[{"code":"75253","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cardiolipin Antibodyigm","code_information":[{"code":"75254","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin Antibodies (Cardiolipin)","code_information":[{"code":"75255","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin Antibodies (Cardiolipin)","code_information":[{"code":"75256","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin Antibodies (Cardiolipin)","code_information":[{"code":"75257","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Clomipramine","code_information":[{"code":"75318","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Calcium (Ionized)quest","code_information":[{"code":"75408","type":"CDM"},{"code":"300","type":"RC"},{"code":"82330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Dnafbr","code_information":[{"code":"75409","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Gabapentin (Serum)quest","code_information":[{"code":"75626","type":"CDM"},{"code":"300","type":"RC"},{"code":"80171","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Lamotriginequest","code_information":[{"code":"75733","type":"CDM"},{"code":"300","type":"RC"},{"code":"80175","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Gentamycin Peak","code_information":[{"code":"75901","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Gentamycin Trough","code_information":[{"code":"75902","type":"CDM"},{"code":"300","type":"RC"},{"code":"80170","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Ige","code_information":[{"code":"750242","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Connect/tissue Dis.panel (Reflex Part 2)","code_information":[{"code":"750510","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cd4/cd8, Absolute Ratio, Flowdcds","code_information":[{"code":"750513","type":"CDM"},{"code":"300","type":"RC"},{"code":"86360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin (Phospholipid) Ab Igg","code_information":[{"code":"750538","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin (Phospholipid) Ab's Igm","code_information":[{"code":"750539","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Beta 2 Glycoprotein 1 Antibody Each","code_information":[{"code":"750627","type":"CDM"},{"code":"300","type":"RC"},{"code":"86146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Vitamin Kquest","code_information":[{"code":"750630","type":"CDM"},{"code":"300","type":"RC"},{"code":"84597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Levetiracetamquest","code_information":[{"code":"750814","type":"CDM"},{"code":"300","type":"RC"},{"code":"80177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Ige","code_information":[{"code":"750845","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Beta 2 Glycoprotein I Antibody, Ea","code_information":[{"code":"750978","type":"CDM"},{"code":"300","type":"RC"},{"code":"86146","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin  (Phospholipid) Ab, Ea Ig","code_information":[{"code":"750979","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Anti-phosphatidylserine(phospholipid)ab","code_information":[{"code":"750980","type":"CDM"},{"code":"300","type":"RC"},{"code":"86148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Zonisamidequest","code_information":[{"code":"751108","type":"CDM"},{"code":"300","type":"RC"},{"code":"80203","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Olanzapine Quest","code_information":[{"code":"751208","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Flecainidequest","code_information":[{"code":"751256","type":"CDM"},{"code":"300","type":"RC"},{"code":"80181","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Dsdna","code_information":[{"code":"751371","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Anti-phosphatidyserine (Pospholipid  Ea","code_information":[{"code":"751742","type":"CDM"},{"code":"300","type":"RC"},{"code":"86148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cardiolipin (Phospholipid) Antibody, Ea","code_information":[{"code":"751918","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Methotrexatequest","code_information":[{"code":"751930","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Methylphenidate Metab Discontinued","code_information":[{"code":"751973","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Fondaparinux Sodiumquest","code_information":[{"code":"751982","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Amiodaronequest","code_information":[{"code":"752111","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Anti-phosphatidylserine Antibody","code_information":[{"code":"752138","type":"CDM"},{"code":"300","type":"RC"},{"code":"86148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Zolpidem Qnt (Urine)quest","code_information":[{"code":"757102","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Quantitation Of Drug, Not Elsewhere Spe","code_information":[{"code":"757146","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Quantitation, Drug, Not Elsewhere Speci","code_information":[{"code":"757970","type":"CDM"},{"code":"300","type":"RC"},{"code":"80145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".T Cells; Absolute Cd4 & Cd8 Count, W/ R","code_information":[{"code":"757977","type":"CDM"},{"code":"300","type":"RC"},{"code":"86360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Nicotine & Cotinine Urinequest","code_information":[{"code":"758123","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Adalimumab Level For Ibdquest","code_information":[{"code":"758262","type":"CDM"},{"code":"300","type":"RC"},{"code":"80145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Lacosamidequest","code_information":[{"code":"758272","type":"CDM"},{"code":"300","type":"RC"},{"code":"80235","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Quantitative Assay Drug","code_information":[{"code":"758275","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Doxycylinequest","code_information":[{"code":"758285","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Dsdna","code_information":[{"code":"758523","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Adalimumab Activity","code_information":[{"code":"758619","type":"CDM"},{"code":"300","type":"RC"},{"code":"80145","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cardiolipin Igaquest","code_information":[{"code":"758852","type":"CDM"},{"code":"300","type":"RC"},{"code":"86147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Dress Hydrofiber 6x6 Aquacel Extra","code_information":[{"code":"50362","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6197","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Kaltostat Alginate Wound 6x 9 1/2","code_information":[{"code":"52311","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6197","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Bandage Gelocast 3  Unna's Boot","code_information":[{"code":"50174","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50174","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Tube Gast Button 90d Feeding Tube 24fr","code_information":[{"code":"50360","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50360","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Tube Gast Button 90d Feeding Tube 18fr","code_information":[{"code":"50361","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":132,"gross_charge":144,"discounted_cash":108,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":132},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"29125 App 4-arm Splnt Static(4-arm-hnd","code_information":[{"code":"CP17585603283884801","type":"CDM"},{"code":"510","type":"RC"},{"code":"29125","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Depakene  (Depakote)   Quest Void","code_information":[{"code":"75021","type":"CDM"},{"code":"300","type":"RC"},{"code":"80164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cryptococcal Ag Latex Screen W/ Rflx","code_information":[{"code":"75400","type":"CDM"},{"code":"300","type":"RC"},{"code":"86403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Mercuryquest","code_information":[{"code":"75497","type":"CDM"},{"code":"300","type":"RC"},{"code":"83825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Cortisol Panel (3 Levels) Total","code_information":[{"code":"75646","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Vancomycin Peak","code_information":[{"code":"350056","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Vancomycin Trough","code_information":[{"code":"350088","type":"CDM"},{"code":"300","type":"RC"},{"code":"80202","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Ferritin","code_information":[{"code":"350113","type":"CDM"},{"code":"300","type":"RC"},{"code":"82728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"D-dimer Quantitative","code_information":[{"code":"350122","type":"CDM"},{"code":"300","type":"RC"},{"code":"85379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Valproic Acid","code_information":[{"code":"351174","type":"CDM"},{"code":"300","type":"RC"},{"code":"80164","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Questd-dimer Quantitative","code_information":[{"code":"751179","type":"CDM"},{"code":"300","type":"RC"},{"code":"85379","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Mercury, Quantitative","code_information":[{"code":"751573","type":"CDM"},{"code":"300","type":"RC"},{"code":"83825","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Particle Agglutination; Screen, Each Ab","code_information":[{"code":"751577","type":"CDM"},{"code":"300","type":"RC"},{"code":"86403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Total","code_information":[{"code":"751747","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Cortisol; Total","code_information":[{"code":"752013","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Questferritin","code_information":[{"code":"758783","type":"CDM"},{"code":"300","type":"RC"},{"code":"82728","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 10mm","code_information":[{"code":"48618","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 12mm","code_information":[{"code":"48619","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48619","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 45mm","code_information":[{"code":"48631","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48631","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 50mm","code_information":[{"code":"48632","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48632","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":30,"maximum":131,"gross_charge":143,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":131},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":63}]}]},{"description":".Chemiluminescent Assay","code_information":[{"code":"758590","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Vedolizumab","code_information":[{"code":"758591","type":"CDM"},{"code":"300","type":"RC"},{"code":"80280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Chemiluminiscent Assay","code_information":[{"code":"758620","type":"CDM"},{"code":"300","type":"RC"},{"code":"82397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Acyclovir Vial 1000mg/20ml","code_information":[{"code":"307662","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150015520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Aminophylline Vial 500mg/20ml","code_information":[{"code":"300055","type":"CDM"},{"code":"636","type":"RC"},{"code":"40959","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Calcium Chloride 10% Syringe 1gm/10ml","code_information":[{"code":"300264","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329330401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Cefazolin Vial 3gm Vial","code_information":[{"code":"312402","type":"CDM"},{"code":"250","type":"RC"},{"code":"44567084501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cefepime Vial 2gm","code_information":[{"code":"304165","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567024110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"D5/ns 0.9% With Kcl 20meq/1000ml Premix","code_information":[{"code":"310279","type":"CDM"},{"code":"250","type":"RC"},{"code":"26476","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Dexmedetomidine Vial 80mcg/20ml","code_information":[{"code":"313001","type":"CDM"},{"code":"250","type":"RC"},{"code":"78134","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Diltiazem Vial 125mg/25ml","code_information":[{"code":"304079","type":"CDM"},{"code":"250","type":"RC"},{"code":"70860030143","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Enoxaparin Inj. 100mg/ml","code_information":[{"code":"304009","type":"CDM"},{"code":"636","type":"RC"},{"code":"71288043689","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ephedrine Vial 50mg/ml","code_information":[{"code":"300639","type":"CDM"},{"code":"250","type":"RC"},{"code":"70700024925","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Epinephrine Syringe 1mg/10ml","code_information":[{"code":"300643","type":"CDM"},{"code":"250","type":"RC"},{"code":"76329331801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Gastrografin Vial 30ml","code_information":[{"code":"306753","type":"CDM"},{"code":"637","type":"RC"},{"code":"27004","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Lidocaine 2% Syringe 100mg/5ml","code_information":[{"code":"300946","type":"CDM"},{"code":"250","type":"RC"},{"code":"40913","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Meropenem Vial 1gm","code_information":[{"code":"304624","type":"CDM"},{"code":"636","type":"RC"},{"code":"40913","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Methylprednisolone Succ Vial 125mg/2ml","code_information":[{"code":"301606-25","type":"CDM"},{"code":"636","type":"RC"},{"code":"90047","type":"CPT","modifier":"25"}],"standard_charges":[{"setting":"outpatient","modifier_code":["25"],"minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Methylprednisolone Succ Vial 125mg/2ml","code_information":[{"code":"301606","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2919","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ketamine Vial 500mg/10ml","code_information":[{"code":"302262","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP302262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nafcillin Inj: 1 Gm Vial","code_information":[{"code":"302896","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP302896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lorazepam(ativan) Inj :40 Mg/10ml-","code_information":[{"code":"303146","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP303146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Atropine Vial 1mg/ml","code_information":[{"code":"303454","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP303454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sodium Bicarb 8.4% Vial 50meq/50ml","code_information":[{"code":"304271","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304271","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Sulf Inj: 1mg/ml 2ml Amp","code_information":[{"code":"304401","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-gemcitabine Inj.  200mg","code_information":[{"code":"304492","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9201","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydrocortisone(solu-cortef)inj: 100 Mg","code_information":[{"code":"306173","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP306173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bupivacaine 0.25% W/ Epi 10ml **Pharm","code_information":[{"code":"312089","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nacl Concentrate 23.4% Vial 30ml","code_information":[{"code":"312206","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP312206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Etomidate Vial 20mg/10ml","code_information":[{"code":"312384","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bupivacaine 0.25% W/epinephrine Pf 10ml","code_information":[{"code":"304695","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323046817","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Screw Cort.3.5mm Fine Thrd 10mm","code_information":[{"code":"48580","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48580","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 24mm","code_information":[{"code":"48587","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 28mm","code_information":[{"code":"48589","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 36mm","code_information":[{"code":"48591","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48591","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 50mm","code_information":[{"code":"48594","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48594","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.3.5mm Fine Thrd 34mm","code_information":[{"code":"48595","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48595","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Suction Collector Set Berkley Device","code_information":[{"code":"49436","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49436","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Cath Contamination Shield 80cm","code_information":[{"code":"49680","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49680","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Flexisplint Pad","code_information":[{"code":"49795","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49795","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Opt Greenbaum Anesthesia Cannula","code_information":[{"code":"49981","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49981","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Ige","code_information":[{"code":"758848","type":"CDM"},{"code":"300","type":"RC"},{"code":"82785","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Single Or Multiple Trigger Point 3 Or More Muscles","code_information":[{"code":"CP17585600566711832","type":"CDM"},{"code":"521","type":"RC"},{"code":"20553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Single Or Multiple Trigger Point 3 Or More Muscles","code_information":[{"code":"CP17585603283957077","type":"CDM"},{"code":"510","type":"RC"},{"code":"20553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Dopamine Hcl In D5w 800mg/250ml","code_information":[{"code":"47080","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47080","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"24hr Stoolalpha1 Antitrypsin; Total","code_information":[{"code":"75012","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Alpha-1-antitrypsin Qntquest","code_information":[{"code":"75518","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Block Iv (Beta-2 Microglobulin)","code_information":[{"code":"75704","type":"CDM"},{"code":"300","type":"RC"},{"code":"82232","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Pth Related Peptide    (B Pep Or Pro)","code_information":[{"code":"75746","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Cyto/molecular Report","code_information":[{"code":"750171","type":"CDM"},{"code":"310","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Pth Related Proteinquest","code_information":[{"code":"750443","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Cytogenetics And Molecular Cytogenetics","code_information":[{"code":"750501","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Acetylcholine Receptor Binding Ab","code_information":[{"code":"750780","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Cyto/molecular Report","code_information":[{"code":"750790","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Acetylcholine Receptor Binding Ab","code_information":[{"code":"750907","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Acetylcholine Receptor Modulating","code_information":[{"code":"750908","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Cytogenetics And Molecular Cytogenetics","code_information":[{"code":"750922","type":"CDM"},{"code":"300","type":"RC"},{"code":"88291","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Immunoassay Analyte Quantitative","code_information":[{"code":"751154","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Quantitative, By Radioimmunassay","code_information":[{"code":"751215","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Alpha-1 Antitrypsin Feces (Random)que","code_information":[{"code":"751350","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Igf Binding Protein-1 (Igfbp-1)quest","code_information":[{"code":"751849","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Alpha-1 Antitrypsin Feces (24hr)quest","code_information":[{"code":"752019","type":"CDM"},{"code":"300","type":"RC"},{"code":"82103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Immunoassay, Nonantibody","code_information":[{"code":"752027","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Ach Receptor (Muscle) Modulating Ab","code_information":[{"code":"752075","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Assay Of Volatiles","code_information":[{"code":"757041","type":"CDM"},{"code":"300","type":"RC"},{"code":"84600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Volatiles (Eg Acetic Anhydride, Carbon","code_information":[{"code":"757136","type":"CDM"},{"code":"300","type":"RC"},{"code":"84600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Volatiles","code_information":[{"code":"757296","type":"CDM"},{"code":"300","type":"RC"},{"code":"84600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Corticotropin Releasing Factorquest","code_information":[{"code":"757297","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Gabapentin Confirm (Qnt) Urinequest","code_information":[{"code":"758086","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Quantitative, By Radioimmunoassay","code_information":[{"code":"758120","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Quantitative By Radioimmunoassay (Eg Ri","code_information":[{"code":"758238","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Pth Antibody","code_information":[{"code":"758248","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Acetylcholine Receptor Modulating Ab","code_information":[{"code":"758321","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Acetylcholine Receptor Blocking Ab","code_information":[{"code":"758322","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Cell Based Immunoflurorescense (Cba)","code_information":[{"code":"758566","type":"CDM"},{"code":"300","type":"RC"},{"code":"86052","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Myelin Oligodendrocyte Glycoprotein (Mo","code_information":[{"code":"758567","type":"CDM"},{"code":"300","type":"RC"},{"code":"86362","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Voltage Gated Calcium Channel Antibody","code_information":[{"code":"758568","type":"CDM"},{"code":"300","type":"RC"},{"code":"86596","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":130,"gross_charge":142,"discounted_cash":107,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":130},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Zz Morphine Pca 250mg/50ml Do Not Stock","code_information":[{"code":"304108","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":129,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Morphine Drip 250mg/50ml Do Not Stock","code_information":[{"code":"304134","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":129,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Post-op Shoe Male Large Velcro","code_information":[{"code":"49912","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":129,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Post-op Shoe Female X-sml Velcro","code_information":[{"code":"49914","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":129,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Dress Hydrocolloid Paste Duoderm   A6261","code_information":[{"code":"50158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":129,"gross_charge":141,"discounted_cash":106,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":129},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Emergency Dept Visit,3 Key Components:ex","code_information":[{"code":"CP17585603283915944","type":"CDM"},{"code":"510","type":"RC"},{"code":"99283","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Removal Impacted Cerumen W/ Instr Bilat","code_information":[{"code":"65939-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"69210","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Digoxin","code_information":[{"code":"75023","type":"CDM"},{"code":"300","type":"RC"},{"code":"80162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Blood test, lipids","code_information":[{"code":"350004","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Blood test, lipids","code_information":[{"code":"350089","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Osmotic Fragility Test Erythrocyte","code_information":[{"code":"750722","type":"CDM"},{"code":"300","type":"RC"},{"code":"85557","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Thyroglobulin","code_information":[{"code":"751191","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Thyroglobulin Only-esoterix","code_information":[{"code":"751384","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Incubated","code_information":[{"code":"751541","type":"CDM"},{"code":"300","type":"RC"},{"code":"85557","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Blood test, lipids","code_information":[{"code":"751779","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Assay Of Thyroglobulin","code_information":[{"code":"751994","type":"CDM"},{"code":"300","type":"RC"},{"code":"84432","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Blood test, lipids","code_information":[{"code":"757300","type":"CDM"},{"code":"301","type":"RC"},{"code":"80061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":".Fatty Acids, Nonesterified","code_information":[{"code":"758313","type":"CDM"},{"code":"300","type":"RC"},{"code":"82725","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.4.5mm 32mm","code_information":[{"code":"48779","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48779","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.4.5mm 38mm","code_information":[{"code":"48782","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.4.5mm 40mm","code_information":[{"code":"48783","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48783","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Cort.4.5mm 42mm","code_information":[{"code":"48784","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48784","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K-wire Ti 1.25mm X 150mm","code_information":[{"code":"50720","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50720","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K-wire Ti 1.60mm X 150mm","code_information":[{"code":"50721","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50721","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"K-wire Ti 2.0mm X 150mm","code_information":[{"code":"50722","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50722","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Dress Hydrofiber 3/4 X18  Aquacel","code_information":[{"code":"52000","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Cortisol (Am)quest","code_information":[{"code":"758869","type":"CDM"},{"code":"300","type":"RC"},{"code":"82533","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":128,"gross_charge":140,"discounted_cash":105,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":128},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":62}]}]},{"description":"Screw Ss Canc.4.0mm Full Thrd 55mm","code_information":[{"code":"48633","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48633","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Screw Cort.4.5mm 22mm","code_information":[{"code":"48774","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Cath Foley 30cc 26fr             *Latex*","code_information":[{"code":"49047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Airway Nasophar.28fr 7.0mm","code_information":[{"code":"49604","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Airway Nasophar.30fr 7.5mm","code_information":[{"code":"49605","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49605","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Airway Nasophar.32fr 8.0mm","code_information":[{"code":"49615","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49615","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Phenytoin","code_information":[{"code":"35533","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Dilantin","code_information":[{"code":"75024","type":"CDM"},{"code":"300","type":"RC"},{"code":"80185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Fta Absquest","code_information":[{"code":"75355","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Hsv Type 1","code_information":[{"code":"75699","type":"CDM"},{"code":"300","type":"RC"},{"code":"86695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Fta-abs","code_information":[{"code":"750917","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Herpes 1","code_information":[{"code":"751180","type":"CDM"},{"code":"300","type":"RC"},{"code":"86695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Dnase-b Abquest","code_information":[{"code":"751309","type":"CDM"},{"code":"300","type":"RC"},{"code":"86215","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Encephalitis-eastern Equine","code_information":[{"code":"751562","type":"CDM"},{"code":"300","type":"RC"},{"code":"86652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Rpr Titer(2)","code_information":[{"code":"751793","type":"CDM"},{"code":"300","type":"RC"},{"code":"86780","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Antibody; Bordetella","code_information":[{"code":"751946","type":"CDM"},{"code":"300","type":"RC"},{"code":"86615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Antibody; Herpes Simplex Type 1","code_information":[{"code":"752042","type":"CDM"},{"code":"300","type":"RC"},{"code":"86695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Vitamin C Quest","code_information":[{"code":"752107","type":"CDM"},{"code":"300","type":"RC"},{"code":"82180","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Pain Mgt Oxycodone Quant (Urine)","code_information":[{"code":"757164","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Antibody; Herpes Simplex Virus, Type 1","code_information":[{"code":"758230","type":"CDM"},{"code":"300","type":"RC"},{"code":"86695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":127,"gross_charge":139,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":127},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Bandage Elastic 6 X11yd Sterile","code_information":[{"code":"50262","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Wound Care Proshield Plus Barrier 4oz","code_information":[{"code":"50303","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Endscp Biospy Valve W/ Irrig Line (Disp)","code_information":[{"code":"50328","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Infectious Agent Detection By Nucleic A","code_information":[{"code":"758609","type":"CDM"},{"code":"300","type":"RC"},{"code":"87593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Troponin I","code_information":[{"code":"75795","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Troponin I","code_information":[{"code":"350042","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Istat Troponin I","code_information":[{"code":"350110","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".Hstroponin I","code_information":[{"code":"351195","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":".2 Hr Hstroponin I","code_information":[{"code":"351198","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Troponin I Hs","code_information":[{"code":"351200","type":"CDM"},{"code":"300","type":"RC"},{"code":"84484","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Mumps Virus Antibody (Igm)quest","code_information":[{"code":"750144","type":"CDM"},{"code":"300","type":"RC"},{"code":"86735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Mumps Virus Iggquest","code_information":[{"code":"750668","type":"CDM"},{"code":"300","type":"RC"},{"code":"86735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Heparin Anti-xaquest","code_information":[{"code":"750821","type":"CDM"},{"code":"300","type":"RC"},{"code":"85520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Splint Wrist Support Left Medium","code_information":[{"code":"49099","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Tray Instrument Incision & Drainage","code_information":[{"code":"49370","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49370","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Irrig Glycine 1.5% 3000 Ml","code_information":[{"code":"49767","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49767","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Splint Wrist Support Left Small","code_information":[{"code":"49824","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Post-op Shoe Male Medium Velcro","code_information":[{"code":"49911","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Post-op Shoe Female Medium Velcro","code_information":[{"code":"49916","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Post-op Shoe Female Large Velcro","code_information":[{"code":"49917","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":29,"maximum":126,"gross_charge":138,"discounted_cash":104,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":126},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":61}]}]},{"description":"Benztropine Serum/plasmaquest","code_information":[{"code":"758561","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Anti-beta-2 Glycoprotein 1 Igm & Igg","code_information":[{"code":"758582","type":"CDM"},{"code":"300","type":"RC"},{"code":"86148","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"758583","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Clobazam And Metabolite Quest","code_information":[{"code":"758617","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Casting Tape Fiberglass 5","code_information":[{"code":"49676","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49676","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Theophyllinequest","code_information":[{"code":"758662","type":"CDM"},{"code":"300","type":"RC"},{"code":"80198","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Myoglobin (Serum)quest","code_information":[{"code":"75079","type":"CDM"},{"code":"300","type":"RC"},{"code":"83874","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Myoglobulin (Urine)quest","code_information":[{"code":"75084","type":"CDM"},{"code":"300","type":"RC"},{"code":"83874","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Aldolase  Quest","code_information":[{"code":"75128","type":"CDM"},{"code":"300","type":"RC"},{"code":"82085","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Glomerular Basement Membrane Iggques","code_information":[{"code":"75553","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".B. Quintana Igm Titer","code_information":[{"code":"75559","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".B. Quintana Igg Titer","code_information":[{"code":"75574","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".B. Henselae Igm Titer","code_information":[{"code":"75575","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Bartonella Antb/","code_information":[{"code":"75788","type":"CDM"},{"code":"300","type":"RC"},{"code":"86609","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cat Scratch Fever","code_information":[{"code":"75789","type":"CDM"},{"code":"300","type":"RC"},{"code":"86609","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Hemoglobin A1c","code_information":[{"code":"350102","type":"CDM"},{"code":"300","type":"RC"},{"code":"83036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Western Blot-confirmation (Lyme)chge Onl","code_information":[{"code":"750522","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Western Blot-confirmation (Lyme)chge Onl","code_information":[{"code":"750523","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".B. Henselae Igg Titer","code_information":[{"code":"750671","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Hs-crpquest","code_information":[{"code":"750734","type":"CDM"},{"code":"300","type":"RC"},{"code":"86141","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Tissue Transglutaminase Igaquest","code_information":[{"code":"750794","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Fungus Not Elsewhere Specified","code_information":[{"code":"750813","type":"CDM"},{"code":"300","type":"RC"},{"code":"86671","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Immunoassay Not Otherwise Specified","code_information":[{"code":"750840","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Lipoprotein (A)quest","code_information":[{"code":"750902","type":"CDM"},{"code":"300","type":"RC"},{"code":"83695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Vma","code_information":[{"code":"750918","type":"CDM"},{"code":"300","type":"RC"},{"code":"84585","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Immunoassay Not Otherwise Specified Que","code_information":[{"code":"751213","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay,analyte,quantitive","code_information":[{"code":"751359","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Bartonella       Quest","code_information":[{"code":"751370","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Antibody; Diphtheria","code_information":[{"code":"751375","type":"CDM"},{"code":"300","type":"RC"},{"code":"86648","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Soluble Liver Ag Autoantibodyquest","code_information":[{"code":"751440","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Bartonella","code_information":[{"code":"751473","type":"CDM"},{"code":"300","type":"RC"},{"code":"86611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Rna Polymerase Iii Abquest","code_information":[{"code":"751575","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Borrelia Burgdorferi Confirm Test","code_information":[{"code":"751622","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Lyme Igg Western Blot","code_information":[{"code":"751655","type":"CDM"},{"code":"300","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Lyme Ab Reflex To Western Blot","code_information":[{"code":"751661","type":"CDM"},{"code":"302","type":"RC"},{"code":"86617","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Lipoprotein (A)","code_information":[{"code":"751780","type":"CDM"},{"code":"300","type":"RC"},{"code":"83695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Tryptasequest","code_information":[{"code":"751809","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Trab (Tsh Receptor Antibody)quest","code_information":[{"code":"751851","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Factor Ii Activity Clotting Quest","code_information":[{"code":"751855","type":"CDM"},{"code":"300","type":"RC"},{"code":"85210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Inhibin A","code_information":[{"code":"751988","type":"CDM"},{"code":"300","type":"RC"},{"code":"86336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay, Analyte","code_information":[{"code":"752025","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Ehrlichia","code_information":[{"code":"752096","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Antibody; Ehrlichia","code_information":[{"code":"752098","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Inhibin A","code_information":[{"code":"752115","type":"CDM"},{"code":"300","type":"RC"},{"code":"86336","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay, Analyte","code_information":[{"code":"757169","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Antibody; Erlichia","code_information":[{"code":"757225","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Lipoprotein (A)","code_information":[{"code":"757302","type":"CDM"},{"code":"300","type":"RC"},{"code":"83695","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay, Analyte","code_information":[{"code":"757342","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay, Analyte","code_information":[{"code":"757971","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay Quant Nos Nonab","code_information":[{"code":"758023","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Bullous Pemphigoid Bp180 Abquest","code_information":[{"code":"758094","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay, Analyte","code_information":[{"code":"758116","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Vascular Endothelial Growth Factorque","code_information":[{"code":"758240","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay Analyte","code_information":[{"code":"758252","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay Quant Nos Nonab","code_information":[{"code":"758264","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Myelin Associated Glycoprotein (Mag)","code_information":[{"code":"758269","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Immunoassay Quant Nos Nonab","code_information":[{"code":"758274","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Quantitative Not Otherwise Specified","code_information":[{"code":"758289","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Quantitative Not Otherwise Specified","code_information":[{"code":"758293","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":".Antibody; Ehrlichia","code_information":[{"code":"758319","type":"CDM"},{"code":"300","type":"RC"},{"code":"86666","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Interleukin 6 Quest","code_information":[{"code":"758353","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Bullous Pemphigoid Bp230 Abquest","code_information":[{"code":"758716","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Gliadin (Deamidated) Antibody, Iga -Ques","code_information":[{"code":"758826","type":"CDM"},{"code":"300","type":"RC"},{"code":"86258","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":125,"gross_charge":137,"discounted_cash":103,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":125},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Guide Pin 1.3mm X 140mm Threaded","code_information":[{"code":"48377","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Screw Cort.4.5mm 20mm","code_information":[{"code":"48773","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Screw Cort.4.5mm 26mm","code_information":[{"code":"48776","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48776","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cath Thoracic 16fr","code_information":[{"code":"49117","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49117","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cast Boot Medium Open Heel/toe","code_information":[{"code":"49149","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3265","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Trach Tube Exchanger 6.5-10.0mm","code_information":[{"code":"49295","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49295","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Opt Morgan Lens Irrigating Device","code_information":[{"code":"49530","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49530","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Airway Nasophar.26fr 6.5mm","code_information":[{"code":"49602","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49602","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Anes. Hme Filter W/ Sample Port","code_information":[{"code":"49663","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49663","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Tube E.t. Intro Bougie 15frx70cm Strt","code_information":[{"code":"52105","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Tube E.t. Intro Bougie 10frx70cm Coude/s","code_information":[{"code":"52107","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Stat Lock Stabiligator Device","code_information":[{"code":"52323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Et Tube Holder  Stabiltube","code_information":[{"code":"60171","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60171","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Dress Softsorb 9x15","code_information":[{"code":"50249","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6252","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Ciprofloxacin Premix 400mg/200ml Ivpb","code_information":[{"code":"310109","type":"CDM"},{"code":"250","type":"RC"},{"code":"40933","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Clindamycin  Premix 300mg/50ml D5w Ivpb","code_information":[{"code":"304083","type":"CDM"},{"code":"250","type":"RC"},{"code":"78132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Clindamycin Premix 600mg/50ml D5w","code_information":[{"code":"304084","type":"CDM"},{"code":"250","type":"RC"},{"code":"78132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"D5/ns 0.45% With Kcl 20meq/1000ml Premix","code_information":[{"code":"310330","type":"CDM"},{"code":"250","type":"RC"},{"code":"26476","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5/ns 0.45% With Kcl 40meq/1000ml Premix","code_information":[{"code":"310057","type":"CDM"},{"code":"250","type":"RC"},{"code":"65219014808","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5w  Premix   50ml","code_information":[{"code":"310436","type":"CDM"},{"code":"258","type":"RC"},{"code":"26415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"D5w Excel Bag 500ml","code_information":[{"code":"304425","type":"CDM"},{"code":"258","type":"RC"},{"code":"33863","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Dextrose 10% Premix  500ml","code_information":[{"code":"308230","type":"CDM"},{"code":"258","type":"RC"},{"code":"26475","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Dextrose 10% Premix 1000ml","code_information":[{"code":"310003","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Fluconazole Premix 200mg/100ml","code_information":[{"code":"308945","type":"CDM"},{"code":"250","type":"RC"},{"code":"25021018482","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Magnesium Sulf. Premix 2gm/50ml","code_information":[{"code":"304225","type":"CDM"},{"code":"636","type":"RC"},{"code":"26442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Nacl 0.9% Mini-bag Plus  50ml","code_information":[{"code":"310433","type":"CDM"},{"code":"272","type":"RC"},{"code":"33805","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Nacl 0.9% Mini-bag Plus 100ml","code_information":[{"code":"310434","type":"CDM"},{"code":"272","type":"RC"},{"code":"33891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Nacl 0.9% Premix  250ml","code_information":[{"code":"310356","type":"CDM"},{"code":"272","type":"RC"},{"code":"26478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Nacl 0.9% Premix 1000ml","code_information":[{"code":"310369","type":"CDM"},{"code":"272","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Nacl 0.9% W/ Kcl 20meq Premix 1000ml","code_information":[{"code":"310403","type":"CDM"},{"code":"258","type":"RC"},{"code":"63323068601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Potassium Chloride Premix 10meq/100ml","code_information":[{"code":"303301","type":"CDM"},{"code":"250","type":"RC"},{"code":"33807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Sodium Chloride 3% Premix 500ml","code_information":[{"code":"304120","type":"CDM"},{"code":"272","type":"RC"},{"code":"63323053021","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"Sterile Water For Injection 2000ml","code_information":[{"code":"308392","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nacl 0.9% Premix 1000ml Refrigerated","code_information":[{"code":"308495","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP308495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Clinda  Premix 600mg/50ml Ns Ivpb V06/24","code_information":[{"code":"311106","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP311106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Blood test, comprehensive group of blood chemicals","code_information":[{"code":"758770","type":"CDM"},{"code":"301","type":"RC"},{"code":"80053","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Splint Aluma-foam Cockup Small","code_information":[{"code":"49261","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cath Ureteral Whistle Tip 3fr","code_information":[{"code":"49760","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49760","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cath Ureteral Whistle Tip 6fr","code_information":[{"code":"49813","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49813","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Splint Aluma-foam Cockup Medium","code_information":[{"code":"49821","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Splint Aluma-foam Cockup Large","code_information":[{"code":"49822","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3908","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Cath Ureteral Whistle Tip 5fr","code_information":[{"code":"49827","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49827","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Wound Drain Kit 100cc Reservoir Only","code_information":[{"code":"50121","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":136,"discounted_cash":102,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":60}]}]},{"description":"Multi Layered Unna Boot","code_information":[{"code":"CP17585600566681465","type":"CDM"},{"code":"521","type":"RC"},{"code":"29581","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Punch Bx Skin Ea Sep/addl","code_information":[{"code":"CP17585600566713124","type":"CDM"},{"code":"521","type":"RC"},{"code":"11105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Rest Home Visit, Est Pt 2+ Key Component","code_information":[{"code":"CP17585600566719244","type":"CDM"},{"code":"522","type":"RC"},{"code":"99334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Punch Bx Skin Ea Sep/addl","code_information":[{"code":"CP17585603283949064","type":"CDM"},{"code":"510","type":"RC"},{"code":"11105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Ultrasound Guidance For Needle Placement","code_information":[{"code":"CP17585603283956079","type":"CDM"},{"code":"510","type":"RC"},{"code":"76942","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Stone Analysis","code_information":[{"code":"17026","type":"CDM"},{"code":"310","type":"RC"},{"code":"82360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Chest Physical Therapy","code_information":[{"code":"60013","type":"CDM"},{"code":"410","type":"RC"},{"code":"94668","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"5-hydroxyindol Acid 24h Urinequest","code_information":[{"code":"75040","type":"CDM"},{"code":"300","type":"RC"},{"code":"83497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Ldh Isoenzymes","code_information":[{"code":"75046","type":"CDM"},{"code":"300","type":"RC"},{"code":"83625","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Rubeolastate Lab","code_information":[{"code":"75129","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Acid Phosphataseprostatic","code_information":[{"code":"75222","type":"CDM"},{"code":"300","type":"RC"},{"code":"84066","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Herpes Zoster Ab  Quest","code_information":[{"code":"75239","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Varicella Zosterstate Lab","code_information":[{"code":"75344","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"24hr Urineketogenic Steroids","code_information":[{"code":"75508","type":"CDM"},{"code":"300","type":"RC"},{"code":"83586","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Acid Phosphatase Prostaticquest","code_information":[{"code":"75660","type":"CDM"},{"code":"300","type":"RC"},{"code":"84066","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Tolerance Test (Gtt) 3 Spec","code_information":[{"code":"79048","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".1hr Glucose Gtt Gestational","code_information":[{"code":"351161","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".30 Min Glucose Gtt Hypoglycemia","code_information":[{"code":"351167","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Stone Renal Formation Diag.profile P-1","code_information":[{"code":"750227","type":"CDM"},{"code":"300","type":"RC"},{"code":"83945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Measles Antibody (Igg)quest","code_information":[{"code":"750666","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Varicella Zoster Virus Ab Iggquest","code_information":[{"code":"750667","type":"CDM"},{"code":"300","type":"RC"},{"code":"86787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Tolerance Test Gtt 3 Specimens Quest","code_information":[{"code":"751224","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"24h Ur Oxalate  Quest","code_information":[{"code":"751553","type":"CDM"},{"code":"300","type":"RC"},{"code":"83945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Hydroxyindolacetic Acid","code_information":[{"code":"751580","type":"CDM"},{"code":"300","type":"RC"},{"code":"83497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Hydroxyindolacetic Acid, 5-hiaa","code_information":[{"code":"751813","type":"CDM"},{"code":"300","type":"RC"},{"code":"83497","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Stone Analysis W/ Imagequest","code_information":[{"code":"751974","type":"CDM"},{"code":"300","type":"RC"},{"code":"82365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Rubeola Iggstate","code_information":[{"code":"752121","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Assay Of Oxalate","code_information":[{"code":"757936","type":"CDM"},{"code":"300","type":"RC"},{"code":"83945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Factor Inhibitor Test","code_information":[{"code":"757955","type":"CDM"},{"code":"300","type":"RC"},{"code":"85335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Factor Viii Human Inhibitor","code_information":[{"code":"757956","type":"CDM"},{"code":"300","type":"RC"},{"code":"85335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Nijmejan Assay","code_information":[{"code":"757957","type":"CDM"},{"code":"300","type":"RC"},{"code":"85335","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Measles Antibody (Igm)quest","code_information":[{"code":"758284","type":"CDM"},{"code":"300","type":"RC"},{"code":"86765","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":124,"gross_charge":135,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":124},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Irrig Saline Premix 3000ml","code_information":[{"code":"49766","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49766","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Dress Calcm-alginate Strip 16  Kaltostat","code_information":[{"code":"50138","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Hepatitis B Surface Ab","code_information":[{"code":"758654","type":"CDM"},{"code":"300","type":"RC"},{"code":"86706","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"20551 Inject Sgl Tendon Origin/inserti","code_information":[{"code":"CP17585600566599750","type":"CDM"},{"code":"521","type":"RC"},{"code":"20551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Aspiration/injection; Major Jt","code_information":[{"code":"CP17585600566594408","type":"CDM"},{"code":"521","type":"RC"},{"code":"20610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"20551 Inject Sgl Tendon Origin/inserti","code_information":[{"code":"CP17585603283840454","type":"CDM"},{"code":"510","type":"RC"},{"code":"20551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Aspiration And/or Injection Of Ganglion Cysts","code_information":[{"code":"CP17585603283906503","type":"CDM"},{"code":"510","type":"RC"},{"code":"20612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Aspiration/injection; Major Jt","code_information":[{"code":"CP17585603283901253","type":"CDM"},{"code":"510","type":"RC"},{"code":"20610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Capillary Blood Gas","code_information":[{"code":"60098","type":"CDM"},{"code":"300","type":"RC"},{"code":"82803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Legionella Ab.(ifa)  Quest","code_information":[{"code":"75174","type":"CDM"},{"code":"300","type":"RC"},{"code":"86713","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Transferrinquest","code_information":[{"code":"75189","type":"CDM"},{"code":"300","type":"RC"},{"code":"84466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Protein C Activityquest","code_information":[{"code":"750163","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"N-telopeptide  Spot Urine  Quest","code_information":[{"code":"750321","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Chlamydia Species Igm","code_information":[{"code":"750659","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Chlamydia (Igm)","code_information":[{"code":"750757","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Chlamydia (Igm)","code_information":[{"code":"750758","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Chlamydia (Igm)","code_information":[{"code":"750759","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Chlamydia,igm","code_information":[{"code":"751471","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Collagen Cross-links, Any Method","code_information":[{"code":"751538","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Chlamydia Igm","code_information":[{"code":"751625","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Chlamydia,igm","code_information":[{"code":"751636","type":"CDM"},{"code":"300","type":"RC"},{"code":"86632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"751914","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Collagen Cross Links, Any Method","code_information":[{"code":"757109","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Collagen Type I C-telopeptide Ctx-quest","code_information":[{"code":"757978","type":"CDM"},{"code":"300","type":"RC"},{"code":"82523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758135","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758167","type":"CDM"},{"code":"300","type":"RC"},{"code":"85303","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Dress Polyur.foam Adhes.tegaderm 5.5x5.5","code_information":[{"code":"52081","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Antipsychotics Not Otherwised Specified","code_information":[{"code":"758737","type":"CDM"},{"code":"300","type":"RC"},{"code":"80342","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Barbiturates","code_information":[{"code":"758738","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Benzodiazepines 1-12","code_information":[{"code":"758739","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Buprenorphine","code_information":[{"code":"758740","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Cocaine","code_information":[{"code":"758741","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Fentanyl","code_information":[{"code":"758742","type":"CDM"},{"code":"300","type":"RC"},{"code":"80354","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Heroin Metabolite","code_information":[{"code":"758743","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Cannabinoids Natural","code_information":[{"code":"758744","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Methylenedioxyamphetamines (Mda Mdma)","code_information":[{"code":"758745","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Skeletal Muscle Relaxants 1 Or 2","code_information":[{"code":"758746","type":"CDM"},{"code":"300","type":"RC"},{"code":"80369","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Methadone","code_information":[{"code":"758747","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Alkaloids Not Otherwise Specified","code_information":[{"code":"758748","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Opiates 1 Or More","code_information":[{"code":"758749","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Phencyclidine (Pcp)","code_information":[{"code":"758750","type":"CDM"},{"code":"300","type":"RC"},{"code":"83992","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Tapentadol","code_information":[{"code":"758751","type":"CDM"},{"code":"300","type":"RC"},{"code":"80372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Tramadol","code_information":[{"code":"758752","type":"CDM"},{"code":"300","type":"RC"},{"code":"80373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Sedative Hypnotics (Non-benzodiazepines","code_information":[{"code":"758753","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Alcohol Biomarkers 1 Or 2","code_information":[{"code":"758754","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Methylphenidate","code_information":[{"code":"758755","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Ex.fix. Schanz Screw 4.0/3.0mm X 80mm","code_information":[{"code":"48161","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":123,"gross_charge":134,"discounted_cash":101,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":123},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Cath Foley 30cc 18fr             *Latex*","code_information":[{"code":"49045","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Ostomy Wafer W 4  Flange","code_information":[{"code":"49227","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49227","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Athletic Support Small","code_information":[{"code":"49631","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49631","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Support Knee Neoprene Sml W/patella Hole","code_information":[{"code":"50263","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Support Knee Neoprene Med W/patella Hole","code_information":[{"code":"50264","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Support Knee Neoprene Lrg W/patella Hole","code_information":[{"code":"50265","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Support Knee Neoprene Xlg W/patella Hole","code_information":[{"code":"50266","type":"CDM"},{"code":"274","type":"RC"},{"code":"L1820","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Inf.port Needle 20g 1  W/y-site","code_information":[{"code":"47078","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47078","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Inf.port Needle 22g 3/4  W/y-site","code_information":[{"code":"47089","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47089","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Inf.port Needle 20g 3/4  W/y-site","code_information":[{"code":"47114","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Inf.port Needle 20g 1-1/2  W/y-site","code_information":[{"code":"52236","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Hepatitis B Surface Ag Eia","code_information":[{"code":"758650","type":"CDM"},{"code":"300","type":"RC"},{"code":"87340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Blood Culture Id & Suscepitibilityqu","code_information":[{"code":"758673","type":"CDM"},{"code":"300","type":"RC"},{"code":"87040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Id Yeast","code_information":[{"code":"758731","type":"CDM"},{"code":"300","type":"RC"},{"code":"87106","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Mold","code_information":[{"code":"758766","type":"CDM"},{"code":"300","type":"RC"},{"code":"87107","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Tpn 2000 Ml Hyperal Container","code_information":[{"code":"47069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Inf.port Needle 20g 1-1/4  W/y-site","code_information":[{"code":"50207","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Osteopathic Manipulation (5-6) Body Regions","code_information":[{"code":"CP17585600566684484","type":"CDM"},{"code":"521","type":"RC"},{"code":"98927","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Urine Creat Clearance 24hr","code_information":[{"code":"35066","type":"CDM"},{"code":"300","type":"RC"},{"code":"82575","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Mod Sedation, Same Provider, Init 15 Min","code_information":[{"code":"69523","type":"CDM"},{"code":"450","type":"RC"},{"code":"99152","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Mod Sedation, Init 15 Min; <5 Yrs","code_information":[{"code":"69529","type":"CDM"},{"code":"450","type":"RC"},{"code":"99151","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Mod Sedation, Ea Add'l 15 Min","code_information":[{"code":"69530","type":"CDM"},{"code":"450","type":"RC"},{"code":"99153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Haptoglobinquest","code_information":[{"code":"75035","type":"CDM"},{"code":"300","type":"RC"},{"code":"83010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Hcg Urine; Beta","code_information":[{"code":"75036","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Culture-stool Iso And Prelim","code_information":[{"code":"750541","type":"CDM"},{"code":"300","type":"RC"},{"code":"87045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Stool Addtional E.coli","code_information":[{"code":"750542","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Beta Hcg-tumor Marker Quest","code_information":[{"code":"750651","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Feces With Isolation And Preliminary Exa","code_information":[{"code":"750737","type":"CDM"},{"code":"300","type":"RC"},{"code":"87045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Additional Pathogens Isolation & Prel.ex","code_information":[{"code":"750739","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Yersinia Culture (Stool)quest","code_information":[{"code":"751193","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Hcg Tumor Marker, Quantquest","code_information":[{"code":"751588","type":"CDM"},{"code":"300","type":"RC"},{"code":"84702","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Atypical P-anca Titer","code_information":[{"code":"751977","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".P-anca Titer","code_information":[{"code":"751978","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".C-anca Titer","code_information":[{"code":"751979","type":"CDM"},{"code":"300","type":"RC"},{"code":"86021","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Pappaa","code_information":[{"code":"751989","type":"CDM"},{"code":"300","type":"RC"},{"code":"84163","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Pregnancy-associated Plasma Protein-a (","code_information":[{"code":"752113","type":"CDM"},{"code":"300","type":"RC"},{"code":"84163","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Culture","code_information":[{"code":"757048","type":"CDM"},{"code":"300","type":"RC"},{"code":"87075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Vibrio Culture (Stool)quest","code_information":[{"code":"757230","type":"CDM"},{"code":"300","type":"RC"},{"code":"87046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Cath Urethral 10fr Red Rubber **Latex**","code_information":[{"code":"49732","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49732","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":"Skin Traction Strip Large 3x40","code_information":[{"code":"49950","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49950","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":28,"maximum":122,"gross_charge":133,"discounted_cash":100,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":122},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":59}]}]},{"description":".Culture Mycobacterial Definitive Id","code_information":[{"code":"758811","type":"CDM"},{"code":"300","type":"RC"},{"code":"87118","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Doxepinquest","code_information":[{"code":"75126","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Fluphenazine (Serum/plasma)quest","code_information":[{"code":"751484","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Thiopurine Metabolitesquest","code_information":[{"code":"757092","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Dna Antibody","code_information":[{"code":"758645","type":"CDM"},{"code":"300","type":"RC"},{"code":"86225","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Brivaracetamquest","code_information":[{"code":"758761","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Charcoal-sorbitol Liquid 25gm/120ml","code_information":[{"code":"300010","type":"CDM"},{"code":"637","type":"RC"},{"code":"57405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"K-wire 0.70mm(0.028 )X127mm(5 ) Pt#5","code_information":[{"code":"48667","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48667","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Ostomy Loop Gasket Assembly 3 1/2","code_information":[{"code":"49231","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Airway Nasophar.34fr 8.5mm","code_information":[{"code":"49725","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":121,"gross_charge":132,"discounted_cash":99,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":121},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"20550 Inject Tendon/ligament","code_information":[{"code":"CP17585600566594194","type":"CDM"},{"code":"521","type":"RC"},{"code":"20550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Hep A, Adult Dosage","code_information":[{"code":"CP17585600566638916","type":"CDM"},{"code":"521","type":"RC"},{"code":"90632","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"20550 Inject Tendon/ligament","code_information":[{"code":"CP17585603283842807","type":"CDM"},{"code":"510","type":"RC"},{"code":"20550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Therapeutic/propylctc Dignostic Inj Sc/i","code_information":[{"code":"65416","type":"CDM"},{"code":"450","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Questvitamin B12","code_information":[{"code":"79184","type":"CDM"},{"code":"300","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Vitamin B12 Reflex","code_information":[{"code":"351178","type":"CDM"},{"code":"301","type":"RC"},{"code":"82607","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Rubella Igg","code_information":[{"code":"750926","type":"CDM"},{"code":"300","type":"RC"},{"code":"86762","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Toxoplasma Igg","code_information":[{"code":"750927","type":"CDM"},{"code":"300","type":"RC"},{"code":"86777","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Tetanus","code_information":[{"code":"751487","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":".Immunoassay, Infectious Agent","code_information":[{"code":"757951","type":"CDM"},{"code":"300","type":"RC"},{"code":"86317","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Ortho Veriflow Cassette","code_information":[{"code":"52527","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52527","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Guide Pin 1.3mm X 140mm Bayonet","code_information":[{"code":"48376","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48376","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Post-op Shoe Male Small Velcro","code_information":[{"code":"49910","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Post-op Shoe Male X-lrg Velcro","code_information":[{"code":"49913","type":"CDM"},{"code":"271","type":"RC"},{"code":"L3260","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"E-surg Grounding Pad Rem Infant","code_information":[{"code":"50104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Mpr Sterile Total Knee Pad","code_information":[{"code":"53090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Flex-seal Protect Fms Kit","code_information":[{"code":"52843","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Acapella Vibratory Pep Therapy Flutter V","code_information":[{"code":"52842","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":120,"gross_charge":131,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":120},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":58}]}]},{"description":"Cath Foley 30cc 24fr             *Latex*","code_information":[{"code":"49046","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tube Salem Sump 16 Fr            (B4083)","code_information":[{"code":"49200","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49200","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Packing Strip Iodoform 2","code_information":[{"code":"49253","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49253","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tube Salem Sump 14 Fr            (B4083)","code_information":[{"code":"49588","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49588","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Nutr Alitraq                     (B4153)","code_information":[{"code":"50025","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Dress Hydrofera Blue 4x4           A6209","code_information":[{"code":"50269","type":"CDM"},{"code":"270","type":"RC"},{"code":"A6209","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Carotenequest","code_information":[{"code":"75146","type":"CDM"},{"code":"300","type":"RC"},{"code":"82380","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"24h Ur Copperquest","code_information":[{"code":"75495","type":"CDM"},{"code":"300","type":"RC"},{"code":"82525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Copperquest","code_information":[{"code":"75499","type":"CDM"},{"code":"300","type":"RC"},{"code":"82525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Carboxyhemoglobincch","code_information":[{"code":"351126","type":"CDM"},{"code":"300","type":"RC"},{"code":"82375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Parvovirus 19 Igg Part 1","code_information":[{"code":"750028","type":"CDM"},{"code":"300","type":"RC"},{"code":"86747","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Parvovirus 19 Igg Part 2","code_information":[{"code":"750029","type":"CDM"},{"code":"300","type":"RC"},{"code":"86747","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Entamoeba Histolytica Ab Quest","code_information":[{"code":"750113","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tetanus Antitoxoidquest","code_information":[{"code":"750285","type":"CDM"},{"code":"300","type":"RC"},{"code":"86774","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Dengue Fever Igg/igm Quest","code_information":[{"code":"751204","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Dengue Fever Igg/igm Quest","code_information":[{"code":"751205","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Alk. Phos Isoenzymes","code_information":[{"code":"751385","type":"CDM"},{"code":"300","type":"RC"},{"code":"84080","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Antibody; Tetanus","code_information":[{"code":"751437","type":"CDM"},{"code":"300","type":"RC"},{"code":"86774","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Virus, Not Elswhere Specified","code_information":[{"code":"751642","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Antibody; Protozoa, Not Elsewhere Speci","code_information":[{"code":"752135","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Sin Nombre Virus Confirmation","code_information":[{"code":"757324","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Antibody; Virus Not Elsewhere Specified","code_information":[{"code":"757325","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Htlv I/ii Antibody W/ Rflx Confirmatory","code_information":[{"code":"758006","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Virus Not Elsewhere Specified","code_information":[{"code":"758247","type":"CDM"},{"code":"300","type":"RC"},{"code":"86790","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Antibody; Protozoa Nos","code_information":[{"code":"758320","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Copper Rbcquest","code_information":[{"code":"758338","type":"CDM"},{"code":"300","type":"RC"},{"code":"82525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Babesia Duncani (Wa1) Ab, Ifaquest","code_information":[{"code":"798406","type":"CDM"},{"code":"300","type":"RC"},{"code":"86753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Debridement Open Wound First 20 Sccm","code_information":[{"code":"65568","type":"CDM"},{"code":"450","type":"RC"},{"code":"97597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Chem Cauterization Of Granulated Tissue","code_information":[{"code":"65572","type":"CDM"},{"code":"450","type":"RC"},{"code":"17250","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Acetylcholine Receptor Binding Abques","code_information":[{"code":"75224","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":119,"gross_charge":130,"discounted_cash":98,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":119},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Ostomy Belt 26 To 43 Inch Waist","code_information":[{"code":"49020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Abdominal Binder Universal","code_information":[{"code":"49059","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49059","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Ostomy Loop Gasket Assembly 4 1/2","code_information":[{"code":"49236","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49236","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tray Foley Cath 5 Cc 16 Fr       *Latex*","code_information":[{"code":"49401","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49401","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tray Foley Cath 5 Cc 18 Fr       *Latex*","code_information":[{"code":"49402","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49402","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Vacurette Curved  7mm","code_information":[{"code":"49564","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49564","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Transfusion Set Blood Component","code_information":[{"code":"49858","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49858","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Nutr Peptamen Jr 250ml","code_information":[{"code":"50023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Vacurette Curved  8mm","code_information":[{"code":"50110","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Vacurette Curved 14mm","code_information":[{"code":"50111","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Ostomy Belt Large","code_information":[{"code":"52271","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52271","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Dress Polyur.foam Adhes.tegaderm 4x4.5","code_information":[{"code":"52082","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Dress Hydrafoam  Hydrophili.tegaderm 4x4","code_information":[{"code":"52487","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52487","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Drug Monitoring Volatiles Panel (Urine)","code_information":[{"code":"758813","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Electrocardiogram, routine, with interpretation and report","code_information":[{"code":"CP17585600566615120","type":"CDM"},{"code":"730","type":"RC"},{"code":"93000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Paring Benign Lesion 2-4","code_information":[{"code":"CP17585600566718305","type":"CDM"},{"code":"521","type":"RC"},{"code":"11056","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Cyto Concen-thin Prep (Fluid In Preserv)","code_information":[{"code":"17024","type":"CDM"},{"code":"311","type":"RC"},{"code":"88142","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Rhythm Strip","code_information":[{"code":"36002","type":"CDM"},{"code":"730","type":"RC"},{"code":"93041","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Cath Of Umbilical Vein For Dx/thx, Newbo","code_information":[{"code":"69534","type":"CDM"},{"code":"450","type":"RC"},{"code":"36510","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Liver function blood test","code_information":[{"code":"350048","type":"CDM"},{"code":"301","type":"RC"},{"code":"80076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Ldl Cholesterol Direct","code_information":[{"code":"350114","type":"CDM"},{"code":"300","type":"RC"},{"code":"83721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Chemistry Procedure","code_information":[{"code":"751141","type":"CDM"},{"code":"300","type":"RC"},{"code":"84999","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Direct Ldl","code_information":[{"code":"751302","type":"CDM"},{"code":"300","type":"RC"},{"code":"83721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Porphyrins Urine Quant","code_information":[{"code":"751338","type":"CDM"},{"code":"300","type":"RC"},{"code":"84120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Ldl Cholesterol","code_information":[{"code":"751782","type":"CDM"},{"code":"300","type":"RC"},{"code":"83721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Pain Mgt Phencyclidine Quant (Urine)","code_information":[{"code":"757163","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":".Cardio Iq Direct Ldl","code_information":[{"code":"757304","type":"CDM"},{"code":"300","type":"RC"},{"code":"83721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Patient office consultation, 40 min","code_information":[{"code":"13399243-QZ","type":"CDM"},{"code":"521","type":"RC"},{"code":"99243","type":"CPT","modifier":"QZ"}],"standard_charges":[{"setting":"outpatient","modifier_code":["QZ"],"minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Clavicle Brace Meek Size X-small","code_information":[{"code":"49394","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Tubing R-vct Y Connector","code_information":[{"code":"49550","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49550","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":27,"maximum":118,"gross_charge":129,"discounted_cash":97,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":118},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":57}]}]},{"description":"Dress Alginate 4x8 Maxorb Extra    A6197","code_information":[{"code":"52182","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6197","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Theophylline 400mg/500ml In D5w","code_information":[{"code":"304167","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304167","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Heparin 25,000 Un/0.45%nacl 500 Ml Drip","code_information":[{"code":"304379","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Theophylline 800mg/1000ml D5w-premixed*","code_information":[{"code":"310364","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP310364","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Immunofixation Electrophpresis","code_information":[{"code":"758846","type":"CDM"},{"code":"300","type":"RC"},{"code":"86334","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw Blade Suction Punch 3.4mm","code_information":[{"code":"48958","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48958","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Screw Blade Suction Punch 5.2mm","code_information":[{"code":"48959","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48959","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Collar Extrication Adj Mini Perfit Ace","code_information":[{"code":"52086","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52086","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Stein.pin Nthrd 2.0mm(5/64 )X229mm(9 )","code_information":[{"code":"48470","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48470","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Stein.pin Nthrd 2.4mm(3/32 )X229mm(9 )","code_information":[{"code":"48471","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48471","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Leadstate Lab","code_information":[{"code":"75097","type":"CDM"},{"code":"300","type":"RC"},{"code":"83655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Heavy Metalsblood (Lead)","code_information":[{"code":"75218","type":"CDM"},{"code":"300","type":"RC"},{"code":"83655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Connective Tissue Disease Panel (Refl-p1","code_information":[{"code":"750505","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Antinuclear Antibodies (Ana)","code_information":[{"code":"750701","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Arc Hemolysins/agglutinins Incubated","code_information":[{"code":"750807","type":"CDM"},{"code":"300","type":"RC"},{"code":"86941","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Ana Screen Ifa W/ Rflx Titer & Pattern","code_information":[{"code":"750959","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Antinuclear Antibodies (Ana)","code_information":[{"code":"751134","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Ana  (Anti-nuclear Ab) Quest","code_information":[{"code":"751243","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":".Lead","code_information":[{"code":"751572","type":"CDM"},{"code":"300","type":"RC"},{"code":"83655","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Ana Multiplex W/ Rflx Dsdnaquest","code_information":[{"code":"758779","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":117,"gross_charge":128,"discounted_cash":96,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":117},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Oxcarbazepinequest","code_information":[{"code":"758726","type":"CDM"},{"code":"300","type":"RC"},{"code":"80183","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":116,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Flex-seal  Fms Privacy Collection","code_information":[{"code":"52844","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52844","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":116,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Cath Foley 30cc 30fr             *Latex*","code_information":[{"code":"49049","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":116,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Dress Polyur.foam 6 X6  W/bordr Mepilex","code_information":[{"code":"52090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":116,"gross_charge":127,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":116},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":56}]}]},{"description":"Sperm Count Post Vasectomycch","code_information":[{"code":"35113","type":"CDM"},{"code":"300","type":"RC"},{"code":"89321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Iv Set Surgical W/ 4 Way Stopcock","code_information":[{"code":"47991","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47991","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Hepatitis B Core Ab Totalquest","code_information":[{"code":"75159","type":"CDM"},{"code":"300","type":"RC"},{"code":"86704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Mitochondrial Ab W/ Rflxquest","code_information":[{"code":"75375","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Reticulin Ab Iga Titer","code_information":[{"code":"75543","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Dna Ab (Ds) Crith Titer","code_information":[{"code":"75545","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Anti-endomysial","code_information":[{"code":"75724","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Culture (Fungus-blood)quest","code_information":[{"code":"75812","type":"CDM"},{"code":"300","type":"RC"},{"code":"87103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"T4 Free","code_information":[{"code":"350049","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".T4 Free Cascade","code_information":[{"code":"351176","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".T4 Free Cascade","code_information":[{"code":"351177","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna Antibody","code_information":[{"code":"750090","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna Antibody, Native Or Double Stranded","code_information":[{"code":"750091","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna Antibody Native Or Double Stranded","code_information":[{"code":"750092","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna Antibody Native Or Double Stranded","code_information":[{"code":"750093","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Myocardial Pt 1(quest)","code_information":[{"code":"750161","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Myocardial Pt 2(quest)","code_information":[{"code":"750162","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Mitochondrial Antibody Titer","code_information":[{"code":"750194","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Protein C Antigenquest","code_information":[{"code":"750441","type":"CDM"},{"code":"300","type":"RC"},{"code":"85302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Free T3","code_information":[{"code":"750754","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna Titre Fbr Reflex","code_information":[{"code":"750778","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Fluorescent Noninfectious Antidody Each","code_information":[{"code":"750839","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Striated Muscle W/reflex","code_information":[{"code":"750909","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Striated Ab Titer","code_information":[{"code":"750914","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dna(ds) Ab Crithidia Ifa W/ Rfx Titer","code_information":[{"code":"750981","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Dsdna Ab, Ifa, Titer","code_information":[{"code":"750982","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Striated Muscle Ab Titer","code_information":[{"code":"751019","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Myocardial Ab Titer","code_information":[{"code":"751021","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Hu Ab Titer","code_information":[{"code":"751034","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"751156","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Titer Each Antibody","code_information":[{"code":"751157","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Endomysial Antibodies-quest","code_information":[{"code":"751212","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Anti Striated Muscle Ab Titer","code_information":[{"code":"751301","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Reticulin Iga Titer","code_information":[{"code":"751679","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Reticulin Igg Titer","code_information":[{"code":"751735","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"751740","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Candida","code_information":[{"code":"751773","type":"CDM"},{"code":"300","type":"RC"},{"code":"86628","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Nmo-igg","code_information":[{"code":"752079","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Yo Antibody Titer","code_information":[{"code":"757059","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Assay Of Thyroxine, Free","code_information":[{"code":"757101","type":"CDM"},{"code":"300","type":"RC"},{"code":"84439","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Fluorescent Antibody Screen","code_information":[{"code":"757343","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758134","type":"CDM"},{"code":"300","type":"RC"},{"code":"85302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758166","type":"CDM"},{"code":"300","type":"RC"},{"code":"85302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"758235","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Ab Scr","code_information":[{"code":"758294","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Myelin Oligodendrocyte Glycoprotein Mog","code_information":[{"code":"758380","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Antibody Titer","code_information":[{"code":"758381","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"758451","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Fluorescent Noninfectious Agent Antibod","code_information":[{"code":"758554","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Smooth Muscle Ab Reflex To Titerquest","code_information":[{"code":"798403","type":"CDM"},{"code":"300","type":"RC"},{"code":"86015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Titer Each Antibody","code_information":[{"code":"798404","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Drug Toxicology Alcohol (Oral Fluid)","code_information":[{"code":"758735","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Drug Toxicology Methylphenidate (Oral)","code_information":[{"code":"758736","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath Foley 30cc 14fr             *Latex*","code_information":[{"code":"49124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cast Boot Small Open Heel/toe","code_information":[{"code":"49148","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3265","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cast Boot Large Open Heel/toe","code_information":[{"code":"49155","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3265","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Gentran 6% & Nacl 0.9% 500 Ml","code_information":[{"code":"47028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Mnt Telemedicine Assessment (21-30 Min)","code_information":[{"code":"85020","type":"CDM"},{"code":"510","type":"RC"},{"code":"98968","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":115,"gross_charge":126,"discounted_cash":95,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":115},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Dress Hydrofiber-ag 2x2 Aquacel Ag","code_information":[{"code":"50349","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Quantitative Not Otherwise Specified","code_information":[{"code":"758763","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Cyclic Citrullinated Peptide","code_information":[{"code":"758773","type":"CDM"},{"code":"300","type":"RC"},{"code":"86200","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath Foley  5cc 22fr             *Latex*","code_information":[{"code":"49041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath Foley 30cc 20fr             *Latex*","code_information":[{"code":"49044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath Foley 30cc 28fr             *Latex*","code_information":[{"code":"49048","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Cath Foley  5cc 24fr             *Latex*","code_information":[{"code":"49123","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Packing Strip Plain 2","code_information":[{"code":"49192","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49192","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Tube Salem Sump 18 Fr            (B4083)","code_information":[{"code":"49201","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Lap Trocar Reducer 5mm For 512","code_information":[{"code":"49235","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49235","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Opt I-knife 15 Degree","code_information":[{"code":"49886","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49886","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Home Visit Est Pt 2+ Key Components:prob","code_information":[{"code":"CP17585600566644291","type":"CDM"},{"code":"522","type":"RC"},{"code":"99347","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Rest Home Visit, New Pt 3 Key Components","code_information":[{"code":"CP17585600566718295","type":"CDM"},{"code":"522","type":"RC"},{"code":"99324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Home Visit Est Pt 2+ Key Components:prob","code_information":[{"code":"CP17585603283920670","type":"CDM"},{"code":"510","type":"RC"},{"code":"99347","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Antithrombin Iii Activityquest","code_information":[{"code":"75835","type":"CDM"},{"code":"300","type":"RC"},{"code":"85300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"D-xylose Absorption Test (2 Hour)ques","code_information":[{"code":"750121","type":"CDM"},{"code":"300","type":"RC"},{"code":"84620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"0&p Direct Smear,concentration & Id","code_information":[{"code":"750153","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Glucose-6-phosphate Dehydrogenaseques","code_information":[{"code":"750318","type":"CDM"},{"code":"300","type":"RC"},{"code":"82955","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Chlamydia Species Igg","code_information":[{"code":"750658","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Topiramate  Quest","code_information":[{"code":"751109","type":"CDM"},{"code":"300","type":"RC"},{"code":"80201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Ova & Parasities","code_information":[{"code":"751410","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Chlamydia","code_information":[{"code":"751470","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Chlamydia","code_information":[{"code":"751624","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Chlamydia","code_information":[{"code":"751635","type":"CDM"},{"code":"300","type":"RC"},{"code":"86631","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Antithrombin Iii Test","code_information":[{"code":"751913","type":"CDM"},{"code":"300","type":"RC"},{"code":"85300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Ova And Parasites Smears","code_information":[{"code":"751939","type":"CDM"},{"code":"300","type":"RC"},{"code":"87177","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Antibody; Hiv-1","code_information":[{"code":"757205","type":"CDM"},{"code":"300","type":"RC"},{"code":"86701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"D-xylose Absorption Test (Fasting)que","code_information":[{"code":"757258","type":"CDM"},{"code":"300","type":"RC"},{"code":"84620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"D-xylose Absorption Test (1 Hour)ques","code_information":[{"code":"757259","type":"CDM"},{"code":"300","type":"RC"},{"code":"84620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Antithrombin Iii Test","code_information":[{"code":"758165","type":"CDM"},{"code":"300","type":"RC"},{"code":"85300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":".Hiv-1 Antibody (Group M & O)","code_information":[{"code":"758422","type":"CDM"},{"code":"300","type":"RC"},{"code":"86701","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":114,"gross_charge":125,"discounted_cash":94,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":114},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Zz Cocaine Hcl 4% Topical Sol: 4 Ml Nonf","code_information":[{"code":"302822","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"30g Disposable Air Injection Cannula","code_information":[{"code":"52465","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52465","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Home Visit New Pt 3 Key Components: Prob","code_information":[{"code":"CP17585600566646893","type":"CDM"},{"code":"522","type":"RC"},{"code":"99341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Injection(s), Single Or Multiple Trigger","code_information":[{"code":"CP17585600566675908","type":"CDM"},{"code":"521","type":"RC"},{"code":"20552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Home Visit New Pt 3 Key Components: Prob","code_information":[{"code":"CP17585603283931093","type":"CDM"},{"code":"510","type":"RC"},{"code":"99341","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Injection(s), Single Or Multiple Trigger","code_information":[{"code":"CP17585603283945908","type":"CDM"},{"code":"510","type":"RC"},{"code":"20552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Alcohol","code_information":[{"code":"35037","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Drug Screen Urinecch","code_information":[{"code":"35093","type":"CDM"},{"code":"301","type":"RC"},{"code":"80306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Acetaminophen","code_information":[{"code":"35263","type":"CDM"},{"code":"300","type":"RC"},{"code":"80329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Hep B Core Igmquest","code_information":[{"code":"75491","type":"CDM"},{"code":"300","type":"RC"},{"code":"86705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Pregabalin Confirm (Qnt) Urineques","code_information":[{"code":"757944","type":"CDM"},{"code":"300","type":"RC"},{"code":"80366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Fentanyl (Qnt) Confirm Urinequest","code_information":[{"code":"758008","type":"CDM"},{"code":"300","type":"RC"},{"code":"80354","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":26,"maximum":113,"gross_charge":124,"discounted_cash":93,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":55}]}]},{"description":"Inf.port Needle 20g 5/8  W/y-site","code_information":[{"code":"47052","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Clavicle Brace Meek Size Large","code_information":[{"code":"49147","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Stockinette Sterile 10 X60  Dbl Ply","code_information":[{"code":"49404","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49404","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Sheepskin Pad Synthetic 24 X 30","code_information":[{"code":"49560","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Inf.port Needle 22g 1-1/4  W/y-site","code_information":[{"code":"50208","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Saw Blade Sagittal 9.5mm X 25.5mm X .4mm","code_information":[{"code":"48463","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48463","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Saw Blade Sagittal 9.5mm X 25.5mm X .4mm","code_information":[{"code":"52488","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52488","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Neopuff Resuscitator Kit W/o Mask","code_information":[{"code":"52032","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52032","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Cath Advance Plus  Intermittent Kit 12fr","code_information":[{"code":"52479","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52479","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Irradiated Additional Charge","code_information":[{"code":"22010","type":"CDM"},{"code":"391","type":"RC"},{"code":"CP22010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Cast Boot X-small Open Heel/toe","code_information":[{"code":"49098","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3265","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Ostomy Belt 29 To 49 Inch Waist","code_information":[{"code":"49218","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49218","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Tube Trach Decannulization Plug Sz 8","code_information":[{"code":"49412","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49412","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Nutr Jevity 1500ml (W/ Fiber)    (B4150)","code_information":[{"code":"50050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Dress Retention Tape 2  Hypafix","code_information":[{"code":"50159","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Iv Set Nitroglycerin Microdrip","code_information":[{"code":"47031","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Ampicillin/sulbactam Vial 3gm","code_information":[{"code":"310415","type":"CDM"},{"code":"250","type":"RC"},{"code":"44567021110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Atropine Vial 0.4mg/ml","code_information":[{"code":"300151","type":"CDM"},{"code":"250","type":"RC"},{"code":"51710","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Bupivacaine 0.5% Vial  50mg/10ml","code_information":[{"code":"305026","type":"CDM"},{"code":"250","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Butorphanol Vial 1mg/ml","code_information":[{"code":"301625","type":"CDM"},{"code":"250","type":"RC"},{"code":"40916","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Cefazolin Vial 2gm","code_information":[{"code":"312163","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567084001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Cefepime 1gm/50ml Ns Ivpb","code_information":[{"code":"308160","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505083404","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Diltiazem Vial  25mg/5ml","code_information":[{"code":"303290","type":"CDM"},{"code":"250","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Enalaprilat Vial 2.5mg/2ml","code_information":[{"code":"301867","type":"CDM"},{"code":"250","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Enoxaparin Inj.  30mg/0.3ml","code_information":[{"code":"304005","type":"CDM"},{"code":"636","type":"RC"},{"code":"71288043291","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Enoxaparin Inj.  40mg/0.4ml","code_information":[{"code":"304010","type":"CDM"},{"code":"636","type":"RC"},{"code":"71839011010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Enoxaparin Inj.  60mg/0.6ml","code_information":[{"code":"304011","type":"CDM"},{"code":"636","type":"RC"},{"code":"71288043491","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Enoxaparin Inj.  80mg/0.8ml","code_information":[{"code":"304012","type":"CDM"},{"code":"636","type":"RC"},{"code":"71288043591","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Etomidate Vial 40mg/20ml","code_information":[{"code":"300054","type":"CDM"},{"code":"250","type":"RC"},{"code":"65219044702","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Hydromorphone Vial 10mg/ml","code_information":[{"code":"308348","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323085110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Lido W/epi 2/0.001% Vial 1000mg/50ml","code_information":[{"code":"312254","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323048357","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Lidocaine W/epi 2/0.001% Vial 600mg/30ml","code_information":[{"code":"312204","type":"CDM"},{"code":"250","type":"RC"},{"code":"40931","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Meropenem Vial  500mg","code_information":[{"code":"304048","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567014501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Methylprednisolone Succ Vial  40mg/ml","code_information":[{"code":"301607-30","type":"CDM"},{"code":"636","type":"RC"},{"code":"90039","type":"CPT","modifier":"30"}],"standard_charges":[{"setting":"outpatient","modifier_code":["30"],"minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Naloxone  Vial 0.4mg/ml","code_information":[{"code":"309049","type":"CDM"},{"code":"636","type":"RC"},{"code":"70756065810","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Neostigmine Vial 10mg/10ml","code_information":[{"code":"307074","type":"CDM"},{"code":"636","type":"RC"},{"code":"42023018901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Norepinephrine Vial 4mg/4ml","code_information":[{"code":"300932","type":"CDM"},{"code":"250","type":"RC"},{"code":"51991098399","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Octreotide  Vial 100mcg/ml","code_information":[{"code":"309048","type":"CDM"},{"code":"636","type":"RC"},{"code":"68462089610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Orphenadrine Vial 60mg/2ml","code_information":[{"code":"310850","type":"CDM"},{"code":"636","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Pantoprazole 40mg Ivp","code_information":[{"code":"308130","type":"CDM"},{"code":"250","type":"RC"},{"code":"71839012201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Penicillin-g Vial 5mu","code_information":[{"code":"302641","type":"CDM"},{"code":"636","type":"RC"},{"code":"70860012641","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Phenylephrine Amp 500mcg/5ml","code_information":[{"code":"311866","type":"CDM"},{"code":"250","type":"RC"},{"code":"71863020205","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Phenylephrine Vial 500mcg/5ml","code_information":[{"code":"312679","type":"CDM"},{"code":"250","type":"RC"},{"code":"64162","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Pipercillin/tazo Vial 3.375gm","code_information":[{"code":"303403","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150012030","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pipercillin/tazo Vial 4.5gm","code_information":[{"code":"304334","type":"CDM"},{"code":"250","type":"RC"},{"code":"60505615904","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Prochlorperazine Vial 10mg/2ml","code_information":[{"code":"304046","type":"CDM"},{"code":"250","type":"RC"},{"code":"70069037101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Rocuronium Vial 100mg/10ml","code_information":[{"code":"312244","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150022610","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Sterile Water Pf Vial  10ml","code_information":[{"code":"312026","type":"CDM"},{"code":"250","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Succinylcholine Vial 200mg/10ml","code_information":[{"code":"301640","type":"CDM"},{"code":"636","type":"RC"},{"code":"70069078301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Sumatriptan Vial 6mg/0.5ml","code_information":[{"code":"302001","type":"CDM"},{"code":"636","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Thiamine  Vial 200mg/2ml","code_information":[{"code":"301734","type":"CDM"},{"code":"250","type":"RC"},{"code":"72485050725","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Tranexamic Acid Vial 1000mg/10ml","code_information":[{"code":"306031","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021041510","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Triamcinolone Vial  40mg/ml","code_information":[{"code":"304086","type":"CDM"},{"code":"250","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Vancomycin Vial  750mg","code_information":[{"code":"305410","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457070500","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Vecuronium Vial 10mg","code_information":[{"code":"301246","type":"CDM"},{"code":"250","type":"RC"},{"code":"47335093140","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Epinephrine 1 Mg/ml Inj: 30 Ml Vial","code_information":[{"code":"300015","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300015","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vitamin K (Neonatal)  1mg/0.5ml","code_information":[{"code":"300114","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300114","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Methylprednisolone Succ Vial  40mg/ml","code_information":[{"code":"301607","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2919","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine 0.5% Vial 250mg/50ml","code_information":[{"code":"301928","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine Hcl 4% 5ml","code_information":[{"code":"301930","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Midazolam (Versed) Inj: 5 Mg/5ml","code_information":[{"code":"304073","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2250","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine 5%/dextrose 7.5% 2ml Amp","code_information":[{"code":"304122","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin R 300units/3ml","code_information":[{"code":"304531","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1815","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-etoposide Vial 100mg/5ml","code_information":[{"code":"305507","type":"CDM"},{"code":"636","type":"RC"},{"code":"J9181","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam   500mg/100ml Ns","code_information":[{"code":"305780","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP305780","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam  1000mg/100ml Ns","code_information":[{"code":"305781","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP305781","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam  1500mg/100ml Ns","code_information":[{"code":"305782","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP305782","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam  1250mg/100ml Ns","code_information":[{"code":"305793","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP305793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Magnesium Sulf. 50% Vial 10gm/20ml","code_information":[{"code":"306086","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3475","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam   750mg/100ml Ns","code_information":[{"code":"308613","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP308613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fentanyl Vial 500mcg/10ml","code_information":[{"code":"311985","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3010","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":113,"gross_charge":123,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":113},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Injection, Intralesional Up To And Inc 7 Lesions","code_information":[{"code":"CP17585603283941483","type":"CDM"},{"code":"510","type":"RC"},{"code":"11900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hepatitis C Antibody W/ Rflx To Hcv Rna","code_information":[{"code":"75247","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hepatitis C Virus Confirmation","code_information":[{"code":"75530","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Kidney function panel test","code_information":[{"code":"350047","type":"CDM"},{"code":"301","type":"RC"},{"code":"80069","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Iron Binding Capacity Ibc   Crh","code_information":[{"code":"350118","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hep A Ab Total W  Rflx To Igmquest","code_information":[{"code":"750110","type":"CDM"},{"code":"300","type":"RC"},{"code":"86708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Creatinine Kinase B Iso","code_information":[{"code":"750167","type":"CDM"},{"code":"300","type":"RC"},{"code":"82552","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Protein S Antigen Totalquest","code_information":[{"code":"750442","type":"CDM"},{"code":"300","type":"RC"},{"code":"85305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Vitamin A (Retinol) Quest","code_information":[{"code":"750826","type":"CDM"},{"code":"300","type":"RC"},{"code":"84590","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hep Be Antibodyquest","code_information":[{"code":"751026","type":"CDM"},{"code":"300","type":"RC"},{"code":"86707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Leptospira Antibody  Quest","code_information":[{"code":"751137","type":"CDM"},{"code":"300","type":"RC"},{"code":"86720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hep A Ab Totalquest","code_information":[{"code":"751441","type":"CDM"},{"code":"300","type":"RC"},{"code":"86708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Iron Binding Capacity Ibc   Ali","code_information":[{"code":"751477","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Iron Binding Capacity Ibc   Quest","code_information":[{"code":"751480","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Viscosityquest","code_information":[{"code":"751574","type":"CDM"},{"code":"300","type":"RC"},{"code":"85810","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Leptospira Ab W/ Rflx Titer Inactivated","code_information":[{"code":"751633","type":"CDM"},{"code":"300","type":"RC"},{"code":"86720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Vitamin B3quest","code_information":[{"code":"751789","type":"CDM"},{"code":"300","type":"RC"},{"code":"84591","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758136","type":"CDM"},{"code":"300","type":"RC"},{"code":"85305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Hepatitis C Ab W/ Rflx Hcv Rna & Genoty","code_information":[{"code":"758160","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Clotting Inhibitors/anticoagulants; Pro","code_information":[{"code":"758168","type":"CDM"},{"code":"300","type":"RC"},{"code":"85305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Antibody Brucella","code_information":[{"code":"758384","type":"CDM"},{"code":"300","type":"RC"},{"code":"86622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Brucella","code_information":[{"code":"758385","type":"CDM"},{"code":"300","type":"RC"},{"code":"86622","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Iron Binding Capacity Ibc Quest","code_information":[{"code":"758782","type":"CDM"},{"code":"300","type":"RC"},{"code":"83550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"K-wire 1.00mm X 150mm (Cerclage Tray)","code_information":[{"code":"48144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"K-wire 2.50mm X 150mm","code_information":[{"code":"48148","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"K-wire 3.00mm X 150mm (Cerclage Tray)","code_information":[{"code":"48149","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48149","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":"Nutr Peptamen 250ml              (B4153)","code_information":[{"code":"49498","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49498","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}]},{"description":".Rhogam","code_information":[{"code":"35165","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2790","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Isoproterenol Inj 1mg/5ml* Non Form","code_information":[{"code":"300851","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":112,"gross_charge":122,"discounted_cash":92,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":112},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":54}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Foley Silicone  5cc 14fr","code_information":[{"code":"49121","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Anes. Circuit Mod. Jackson Reese","code_information":[{"code":"49369","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49369","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Wound Drain Round 19fr 1/4  W/trocar","code_information":[{"code":"49549","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49549","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Casting Splint 2x12 Scotchcast","code_information":[{"code":"52128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Dress Polyur.foam Adhes.tegaderm 5.5x6","code_information":[{"code":"52083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"11000 Debride Infected Skin","code_information":[{"code":"CP17585600566575185","type":"CDM"},{"code":"521","type":"RC"},{"code":"11000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"11000 Debride Infected Skin","code_information":[{"code":"CP17585603283831898","type":"CDM"},{"code":"510","type":"RC"},{"code":"11000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Phenobarbital","code_information":[{"code":"35042","type":"CDM"},{"code":"300","type":"RC"},{"code":"80184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Sensitivity","code_information":[{"code":"35262","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Culturebody Fluid","code_information":[{"code":"35504","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Culturewound Ali","code_information":[{"code":"35505","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Culturebord Pertussis State","code_information":[{"code":"75011","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Leukocyte Alkaline Phosphatase Quest","code_information":[{"code":"75143","type":"CDM"},{"code":"300","type":"RC"},{"code":"85540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Hep Be Antigenquest","code_information":[{"code":"75315","type":"CDM"},{"code":"300","type":"RC"},{"code":"87350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".C. Difficile Ag, Gdh","code_information":[{"code":"350105","type":"CDM"},{"code":"300","type":"RC"},{"code":"87324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Clostridium Difficile Toxin","code_information":[{"code":"351106","type":"CDM"},{"code":"300","type":"RC"},{"code":"87324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Ag Detection By Eia, Qlt","code_information":[{"code":"351107","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Influenza, A Or B, Each","code_information":[{"code":"351142","type":"CDM"},{"code":"300","type":"RC"},{"code":"87804","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Rsvrapid","code_information":[{"code":"351154","type":"CDM"},{"code":"300","type":"RC"},{"code":"87807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"H. Pylori Ag Stoolquest","code_information":[{"code":"750043","type":"CDM"},{"code":"300","type":"RC"},{"code":"87338","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Legionella Ag Urinequest","code_information":[{"code":"750136","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel Part 1","code_information":[{"code":"750200","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel  Part 2","code_information":[{"code":"750201","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det. Panel Part 3","code_information":[{"code":"750202","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel Part 4","code_information":[{"code":"750203","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag.det.panel Part 5","code_information":[{"code":"750204","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel Part 6","code_information":[{"code":"750205","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel Part 7","code_information":[{"code":"750206","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Bacterial Ag Det.panel Part 8","code_information":[{"code":"750207","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Shiga-like Toxin","code_information":[{"code":"750548","type":"CDM"},{"code":"300","type":"RC"},{"code":"87427","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Giardia Antigen (Stool) Aliuest","code_information":[{"code":"750563","type":"CDM"},{"code":"300","type":"RC"},{"code":"87329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Histone Antibodiesquest","code_information":[{"code":"750572","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Cryptosporidium  (Ali)o&p","code_information":[{"code":"750719","type":"CDM"},{"code":"300","type":"RC"},{"code":"87328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Giardia          (Ali)o&p","code_information":[{"code":"750720","type":"CDM"},{"code":"300","type":"RC"},{"code":"87329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Shiga Like Toxin","code_information":[{"code":"750738","type":"CDM"},{"code":"300","type":"RC"},{"code":"87427","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Influenza A Virus","code_information":[{"code":"750741","type":"CDM"},{"code":"300","type":"RC"},{"code":"87276","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Respiratory Syncytial Virus","code_information":[{"code":"750742","type":"CDM"},{"code":"300","type":"RC"},{"code":"87280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Influenza B Virus","code_information":[{"code":"750743","type":"CDM"},{"code":"300","type":"RC"},{"code":"87275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Influenza A","code_information":[{"code":"750769","type":"CDM"},{"code":"300","type":"RC"},{"code":"87276","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Rsv","code_information":[{"code":"750770","type":"CDM"},{"code":"300","type":"RC"},{"code":"87280","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Influenza B","code_information":[{"code":"750771","type":"CDM"},{"code":"300","type":"RC"},{"code":"87275","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Immunoassay Multiple Step Method","code_information":[{"code":"750841","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Nllag Typing, Each Unit Sent, 2 Ags","code_information":[{"code":"750936","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay For Analyte Other Than Infe","code_information":[{"code":"751133","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Catheter Tip Culture (Venous/arterial)","code_information":[{"code":"751255","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Ribosomal P Antibodyquest","code_information":[{"code":"751306","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Other Source (Cf Culture)","code_information":[{"code":"751509","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Wound Culture","code_information":[{"code":"751688","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Smooth Muscle Ab Iggquest","code_information":[{"code":"751751","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Cryptosporidium/giardia Ag, If","code_information":[{"code":"751943","type":"CDM"},{"code":"300","type":"RC"},{"code":"87272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Giardia","code_information":[{"code":"751944","type":"CDM"},{"code":"300","type":"RC"},{"code":"87329","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Rotavirus Ag Detection Eiaquest","code_information":[{"code":"751957","type":"CDM"},{"code":"300","type":"RC"},{"code":"87425","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Tissue Transglutaminase Iggquest","code_information":[{"code":"752478","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay, Multiple Step Method","code_information":[{"code":"752480","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Streptococcus Pneumoniae Ag Urineque","code_information":[{"code":"752501","type":"CDM"},{"code":"300","type":"RC"},{"code":"87899","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Culture","code_information":[{"code":"757045","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Culture","code_information":[{"code":"757052","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Culture","code_information":[{"code":"757061","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Culture","code_information":[{"code":"757067","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay, Nonantibody","code_information":[{"code":"757113","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay, Nonantibody","code_information":[{"code":"757118","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay For Analyte Other Than Infe","code_information":[{"code":"757119","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Campylobacter Species Ag","code_information":[{"code":"757257","type":"CDM"},{"code":"300","type":"RC"},{"code":"87449","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Minimum Inhibitory Concentration (Mic)","code_information":[{"code":"757947","type":"CDM"},{"code":"300","type":"RC"},{"code":"87186","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Histone Antibody","code_information":[{"code":"757968","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".B Cells, Total Count","code_information":[{"code":"757974","type":"CDM"},{"code":"300","type":"RC"},{"code":"86355","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Natural Killer (Nk) Cells, Total Count","code_information":[{"code":"757975","type":"CDM"},{"code":"300","type":"RC"},{"code":"86357","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".T Cells; Total Count","code_information":[{"code":"757976","type":"CDM"},{"code":"300","type":"RC"},{"code":"86359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay For Analye Other Than Infec","code_information":[{"code":"757984","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".B Cells Total Count -Dcpa","code_information":[{"code":"758212","type":"CDM"},{"code":"310","type":"RC"},{"code":"88355","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Nk Cells Total Countdcpa","code_information":[{"code":"758213","type":"CDM"},{"code":"310","type":"RC"},{"code":"86357","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Cryptosporidium/giardia Ag","code_information":[{"code":"758244","type":"CDM"},{"code":"300","type":"RC"},{"code":"87272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Respiratory Syncytial Virus (Rsv) Rt-pc","code_information":[{"code":"758303","type":"CDM"},{"code":"300","type":"RC"},{"code":"87807","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Assay Of Phenobarbital","code_information":[{"code":"758361","type":"CDM"},{"code":"300","type":"RC"},{"code":"80184","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Cryptosporidium Ag Eia","code_information":[{"code":"758378","type":"CDM"},{"code":"300","type":"RC"},{"code":"87328","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Aquaporin-4 (Aqp4) Ab (Nmo-igg)quest","code_information":[{"code":"758379","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Ttg Igg","code_information":[{"code":"758420","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Immunoassay For Analyte Other Than Infe","code_information":[{"code":"758450","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Ttg Iga","code_information":[{"code":"758577","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Mononuclear Cell Agdcpa","code_information":[{"code":"758647","type":"CDM"},{"code":"310","type":"RC"},{"code":"86356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 1.25mm(0.049 )X152mm(6 ) Sml/mini","code_information":[{"code":"48660","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48660","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 1.60mm(0.062 )X152mm(6 ) Sml Frag","code_information":[{"code":"48661","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48661","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 2.00mm(0.079 )X152mm(6 ) Sml Frag","code_information":[{"code":"48662","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48662","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 0.90mm(0.035 )X229mm(9 ) Pt#5","code_information":[{"code":"48669","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48669","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 1.10mm(0.045 )X229mm(9 ) Pt#5","code_information":[{"code":"48670","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48670","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 1.60mm(0.062 )X152mm(6 ) Pt#1","code_information":[{"code":"48671","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48671","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"K-wire 1.60mm(0.062 )X229mm(9 ) Pt#5","code_information":[{"code":"48672","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48672","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Lap Trocar Reducer 5mm For All Trocars","code_information":[{"code":"49341","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Stockinette Sterile  6 X60  Dbl Ply","code_information":[{"code":"49431","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49431","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Artrl Wrist Support Adult","code_information":[{"code":"49682","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49682","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Cast Heel Large","code_information":[{"code":"49698","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49698","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":111,"gross_charge":121,"discounted_cash":91,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":111},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Rib Belt Male Size Universal","code_information":[{"code":"49023","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Cerv Collar X-lrg Narrow","code_information":[{"code":"49145","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Cerv Collar X-sml Narrow","code_information":[{"code":"49924","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Dress Hydropolymer 4x4 Tielle      A6212","code_information":[{"code":"50068","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Fibrinogen","code_information":[{"code":"35012","type":"CDM"},{"code":"300","type":"RC"},{"code":"85384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Insulinquest","code_information":[{"code":"75165","type":"CDM"},{"code":"300","type":"RC"},{"code":"83525","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Zincquest","code_information":[{"code":"75193","type":"CDM"},{"code":"300","type":"RC"},{"code":"84630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Discontinued Ref-enafbr","code_information":[{"code":"79196","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP79196","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Nephelometry Each Analyte Not Elsewhere","code_information":[{"code":"751296","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Nephelometry, Each Analyte Not Elswhere","code_information":[{"code":"751753","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Nephelometry, Each","code_information":[{"code":"757201","type":"CDM"},{"code":"300","type":"RC"},{"code":"83883","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Cystatin C W/ Glomerular Filtration Rate","code_information":[{"code":"758079","type":"CDM"},{"code":"300","type":"RC"},{"code":"82610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":".Fibrinogen; Activity","code_information":[{"code":"758170","type":"CDM"},{"code":"300","type":"RC"},{"code":"85384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Questfibrinogen Activity","code_information":[{"code":"758220","type":"CDM"},{"code":"300","type":"RC"},{"code":"85384","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Zinc Rbcquest","code_information":[{"code":"758281","type":"CDM"},{"code":"300","type":"RC"},{"code":"84630","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Buprenorphine W/ Confirm & Naloxone","code_information":[{"code":"758375","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Mask Aerosolpediatric Dragon","code_information":[{"code":"52881","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52881","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":110,"gross_charge":120,"discounted_cash":90,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":110},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":53}]}]},{"description":"Canalith Repositioning Maneuvers","code_information":[{"code":"55439-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"95992","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Certification Home Health","code_information":[{"code":"CP17585600566604993","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0180","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Pt Tens Set-up W/e-stim Manual-15min","code_information":[{"code":"55456-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97032","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Ot Tens Set-up W/ E-stim Manual 15 Min","code_information":[{"code":"55457-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97032","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Hepatitis A Igm Antibodyquest","code_information":[{"code":"75160","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Basic metabolic panel","code_information":[{"code":"350045","type":"CDM"},{"code":"301","type":"RC"},{"code":"80048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Basic metabolic panel","code_information":[{"code":"350111","type":"CDM"},{"code":"301","type":"RC"},{"code":"80048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Venous Ph","code_information":[{"code":"351125","type":"CDM"},{"code":"300","type":"RC"},{"code":"82800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Fungus Isolation Culture","code_information":[{"code":"750214","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Hep A Igm Ab  Quest(acute)","code_information":[{"code":"751498","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Lyme Igm Western Blot","code_information":[{"code":"751656","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Alcohol Biomarkers; 1 Or 2","code_information":[{"code":"758052","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Amphetamines; 1 Or 2","code_information":[{"code":"758053","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Methylenedioxyamphetamines (Mda, Mdea,","code_information":[{"code":"758054","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Barbiturates","code_information":[{"code":"758055","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Buprenorphine","code_information":[{"code":"758057","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Cannabinoids Natural","code_information":[{"code":"758058","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Cocaine","code_information":[{"code":"758059","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Methadone","code_information":[{"code":"758060","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Heroin Metabolite","code_information":[{"code":"758061","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Propoxyphene","code_information":[{"code":"758062","type":"CDM"},{"code":"300","type":"RC"},{"code":"80367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Naloxone","code_information":[{"code":"758374","type":"CDM"},{"code":"300","type":"RC"},{"code":"G0480","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Drug(s) Or Substance Definitive Qual Or","code_information":[{"code":"758605","type":"CDM"},{"code":"300","type":"RC"},{"code":"80375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":25,"maximum":109,"gross_charge":119,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":109},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Strongyloides Ab (Igg)quest","code_information":[{"code":"758804","type":"CDM"},{"code":"300","type":"RC"},{"code":"86682","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Toxocara Ab (Igg)quest","code_information":[{"code":"758805","type":"CDM"},{"code":"300","type":"RC"},{"code":"86682","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Endomysial Antibody Screen (Iga)","code_information":[{"code":"757117","type":"CDM"},{"code":"300","type":"RC"},{"code":"86231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":".Antineutrophil Cytoplasmic Ab (Anca) Sc","code_information":[{"code":"758562","type":"CDM"},{"code":"300","type":"RC"},{"code":"86036","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Endomysial Ab Iga Rflx To Titerquest","code_information":[{"code":"758827","type":"CDM"},{"code":"300","type":"RC"},{"code":"86231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Trays Chest Neonatal","code_information":[{"code":"48030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Urine Drainage Bag Closed 4l       A4357","code_information":[{"code":"49773","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49773","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Methadone Quant Serumquest","code_information":[{"code":"751926","type":"CDM"},{"code":"300","type":"RC"},{"code":"80299","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":108,"gross_charge":118,"discounted_cash":89,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":108},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":52}]}]},{"description":"Tube E.t. Intro Bougie 15frx70cm Coude","code_information":[{"code":"52106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Strapping; Unna Boot","code_information":[{"code":"CP17585600566716645","type":"CDM"},{"code":"521","type":"RC"},{"code":"29580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Strapping; Unna Boot","code_information":[{"code":"CP17585603283952211","type":"CDM"},{"code":"510","type":"RC"},{"code":"29580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Ana (Antinuclear Antibody)","code_information":[{"code":"75006","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Complement Component C1qquest","code_information":[{"code":"75290","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Nucleotidase-5quest","code_information":[{"code":"75388","type":"CDM"},{"code":"300","type":"RC"},{"code":"83915","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"C1 Esterase Inhibitor Functionalquest","code_information":[{"code":"75535","type":"CDM"},{"code":"300","type":"RC"},{"code":"86161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Ana Ifa Titer","code_information":[{"code":"75542","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"C4 Complement Component      Quest","code_information":[{"code":"750119","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Connect/tissue Dis.panel (Reflex Part 2)","code_information":[{"code":"750509","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Ana-reflex From Ana Fbr","code_information":[{"code":"750777","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Ana Titer And Pattern","code_information":[{"code":"750960","type":"CDM"},{"code":"300","type":"RC"},{"code":"86039","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Complement, Antigen Each Conponent","code_information":[{"code":"750976","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Complement; Antigen, Each Component","code_information":[{"code":"751135","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Complement Component C3cquest","code_information":[{"code":"751144","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Complement Component C4cquest","code_information":[{"code":"751145","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".C3 Or C4","code_information":[{"code":"758524","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Hemoglobin Fractionation & Quant Electr","code_information":[{"code":"758793","type":"CDM"},{"code":"300","type":"RC"},{"code":"83020","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Clinic Screeningpsa Screen","code_information":[{"code":"35296","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP35296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Hepatitis A Antibody (Haab)","code_information":[{"code":"758573","type":"CDM"},{"code":"300","type":"RC"},{"code":"86708","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Gliadin (Deaminated) (Dgp) Antibody Ea","code_information":[{"code":"758575","type":"CDM"},{"code":"300","type":"RC"},{"code":"86258","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":107,"gross_charge":117,"discounted_cash":88,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":107},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Dress Calcium-alginate 4x4 Sorbsan","code_information":[{"code":"52011","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Dressing Dermarite Calcium Algin 4.25x4","code_information":[{"code":"53231","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"K-wire 0.90mm(0.035 )X152mm(6 ) Pt#1","code_information":[{"code":"48668","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Aso (Antistreptolysin O; Titer)","code_information":[{"code":"75251","type":"CDM"},{"code":"300","type":"RC"},{"code":"86060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Cytology Study Outpatientdcds","code_information":[{"code":"75435","type":"CDM"},{"code":"310","type":"RC"},{"code":"88112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Cytology Study Inpatientdcds","code_information":[{"code":"75578","type":"CDM"},{"code":"310","type":"RC"},{"code":"88112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Anti-streptolysin Oquest","code_information":[{"code":"75680","type":"CDM"},{"code":"300","type":"RC"},{"code":"86060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Methemoglobin","code_information":[{"code":"351129","type":"CDM"},{"code":"300","type":"RC"},{"code":"83050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Cytopathology Selective Cellular Enhance","code_information":[{"code":"7501018","type":"CDM"},{"code":"310","type":"RC"},{"code":"88112","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Ns 0.9% (Glass) 250ml","code_information":[{"code":"304272","type":"CDM"},{"code":"258","type":"RC"},{"code":"A4217","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Hepatitis B Core Ab","code_information":[{"code":"758653","type":"CDM"},{"code":"300","type":"RC"},{"code":"86704","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Intraosseous Stabilizer","code_information":[{"code":"52140","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Acetylcholine Receptor Alpha 3 Ab- Quest","code_information":[{"code":"758840","type":"CDM"},{"code":"300","type":"RC"},{"code":"83519","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":106,"gross_charge":116,"discounted_cash":87,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":106},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":".Coccidioides Antibody","code_information":[{"code":"758607","type":"CDM"},{"code":"300","type":"RC"},{"code":"86635","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Golytely Oral Soln. 4000ml","code_information":[{"code":"300727","type":"CDM"},{"code":"637","type":"RC"},{"code":"52268010001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":4000,"type":"ML"}},{"description":"Sodium Hypochlorite 0.5% 473ml","code_information":[{"code":"311107","type":"CDM"},{"code":"637","type":"RC"},{"code":"39328006250","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":473,"type":"ML"}},{"description":"Papain/urea Oint:30 Gm","code_information":[{"code":"303521","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303521","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppcadexomer Iodine 0.9% Gel 10gm Tu","code_information":[{"code":"308161","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccpplidocaine 5% Ointment 50 Gram Jar","code_information":[{"code":"312377","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312377","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nf-vitamin A&d Ointment 92.93%","code_information":[{"code":"312848","type":"CDM"},{"code":"260","type":"RC"},{"code":"CP312848","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Bandage Coban Wrap Lf 6  Sterile","code_information":[{"code":"49030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Defibulator Pad","code_information":[{"code":"49409","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49409","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Hdl","code_information":[{"code":"35005","type":"CDM"},{"code":"300","type":"RC"},{"code":"83718","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Arc Hemolysins/agglutinins","code_information":[{"code":"750806","type":"CDM"},{"code":"300","type":"RC"},{"code":"86940","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Tacrolimusnordex Lab","code_information":[{"code":"750850","type":"CDM"},{"code":"300","type":"RC"},{"code":"80197","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Sirolimus Lc/ms/msquest","code_information":[{"code":"751304","type":"CDM"},{"code":"300","type":"RC"},{"code":"80195","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Tacrolimus Highly Sensitivequest","code_information":[{"code":"751962","type":"CDM"},{"code":"300","type":"RC"},{"code":"80197","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Everolimusquest","code_information":[{"code":"757290","type":"CDM"},{"code":"300","type":"RC"},{"code":"80169","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Beta-hydroxybutyratequest","code_information":[{"code":"757980","type":"CDM"},{"code":"300","type":"RC"},{"code":"82010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":105,"gross_charge":115,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":105},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":51}]}]},{"description":"Cath Thoracic 36fr","code_information":[{"code":"49021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Cath Thoracic 40fr","code_information":[{"code":"49022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Pitressin(vasopressin Tan):10u/ml","code_information":[{"code":"301392","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301392","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tagamet(cimetidine):300mg/2ml Inj","code_information":[{"code":"301677","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301677","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Thoracic 32fr","code_information":[{"code":"49014","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Cerv Collar Large Narrow","code_information":[{"code":"49143","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Dress Hydrophilic Gel Multidex 1/7oz","code_information":[{"code":"50165","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6261","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Iv Set Microdrip Primary","code_information":[{"code":"47041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":".Antibody Histoplasma","code_information":[{"code":"758802","type":"CDM"},{"code":"300","type":"RC"},{"code":"86698","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":24,"maximum":104,"gross_charge":114,"discounted_cash":86,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":104},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Gamma Glutamyl Transferasequest","code_information":[{"code":"75094","type":"CDM"},{"code":"300","type":"RC"},{"code":"82977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Crystal Identification Body Fluid","code_information":[{"code":"351132","type":"CDM"},{"code":"300","type":"RC"},{"code":"89060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Cold Hemagglutininsquest","code_information":[{"code":"751618","type":"CDM"},{"code":"300","type":"RC"},{"code":"86157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":".Glutamyltransferase Gamma (Ggt)","code_information":[{"code":"758580","type":"CDM"},{"code":"300","type":"RC"},{"code":"82977","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":".Hepatitis B Core Antibody","code_information":[{"code":"758648","type":"CDM"},{"code":"300","type":"RC"},{"code":"86705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Bandage Elastoplast 4            *Latex*","code_information":[{"code":"49017","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49017","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":".Hepatitis A Antibody (Haab) Igm Antibod","code_information":[{"code":"758574","type":"CDM"},{"code":"300","type":"RC"},{"code":"86709","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Neopuff Gas Supply Line Long Box/10","code_information":[{"code":"52031","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Neopuff Mask Starter Kit5sizes","code_information":[{"code":"498317","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP498317","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":"Neopuff Mask Large","code_information":[{"code":"501785","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP501785","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":103,"gross_charge":113,"discounted_cash":85,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":103},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":50}]}]},{"description":".Antibody; Epstein-barr Virus, Early Ant","code_information":[{"code":"758878","type":"CDM"},{"code":"300","type":"RC"},{"code":"86663","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Cerclage Wire W/eye 1.00mm X 280mm","code_information":[{"code":"48140","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Cerclage Wire W/eye 1.25mm X 280mm","code_information":[{"code":"48141","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Aspiration/injection; Med","code_information":[{"code":"CP17585600566590524","type":"CDM"},{"code":"521","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Aspiration/injection; Med","code_information":[{"code":"CP17585603283908825","type":"CDM"},{"code":"510","type":"RC"},{"code":"20605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Iv Inf Therapy/propylxs/diag Add Sequent","code_information":[{"code":"65414","type":"CDM"},{"code":"450","type":"RC"},{"code":"96367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Iv Inf Therapy/propylxs/diag Concurrent","code_information":[{"code":"65415","type":"CDM"},{"code":"450","type":"RC"},{"code":"96368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Hepatitis C Antibody","code_information":[{"code":"758649","type":"CDM"},{"code":"300","type":"RC"},{"code":"86803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Hepatitis Be Ab","code_information":[{"code":"758655","type":"CDM"},{"code":"300","type":"RC"},{"code":"86707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":112,"discounted_cash":84,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Adiponectinquest","code_information":[{"code":"758870","type":"CDM"},{"code":"300","type":"RC"},{"code":"83520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Opt Retrobulbar Needle 23gx1-1/2","code_information":[{"code":"49974","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49974","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Dress Calcium-alginate 2x2 Medihoney","code_information":[{"code":"52174","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52174","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Parietal Cell Ab (Elisa)quest","code_information":[{"code":"75060","type":"CDM"},{"code":"300","type":"RC"},{"code":"83516","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Hepatitis Be Ag Eia","code_information":[{"code":"758651","type":"CDM"},{"code":"300","type":"RC"},{"code":"87350","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Culture (Throat)quest","code_information":[{"code":"758670","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Culture (Ear-external)quest","code_information":[{"code":"758721","type":"CDM"},{"code":"300","type":"RC"},{"code":"87070","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Porphobilinogen Qnt 24hr Urinequest","code_information":[{"code":"75229","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"24hr Urineporphobilinogen; Quant","code_information":[{"code":"75710","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Lytes (Electrolytes)","code_information":[{"code":"350009","type":"CDM"},{"code":"301","type":"RC"},{"code":"80051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Porphobilinogen Urine Quant","code_information":[{"code":"751337","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Spectrophotometry, Analyte Not Elsewher","code_information":[{"code":"751767","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Spectrophotometry, Analyte Not Elsewher","code_information":[{"code":"757151","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Spectrophotomtery, Analyte Not Elsewher","code_information":[{"code":"757983","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":".Spectrophotometry, Analyte Not Elsewher","code_information":[{"code":"758049","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":102,"gross_charge":111,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":102},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":49}]}]},{"description":"Shoulder Immobilizer X Large","code_information":[{"code":"49140","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Casting Tape Fiberglass 4","code_information":[{"code":"49675","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49675","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Ana Multiplex W/ Rflx 11 Ab Cascadequ","code_information":[{"code":"758806","type":"CDM"},{"code":"300","type":"RC"},{"code":"86038","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Htlv I/ii Confirmatory Assay","code_information":[{"code":"758007","type":"CDM"},{"code":"300","type":"RC"},{"code":"86689","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath Foley Silicone  5cc 20fr","code_information":[{"code":"49057","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49057","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath Foley Silicone  5cc 16fr","code_information":[{"code":"49122","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath Foley Silicone  5cc 18fr","code_information":[{"code":"49128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cath Foley Silicone  5cc 22fr","code_information":[{"code":"49640","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49640","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Pad T-pump 15 X22","code_information":[{"code":"52079","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"11740 Evacuation Sublungal Hematoma","code_information":[{"code":"CP17585600566595676","type":"CDM"},{"code":"521","type":"RC"},{"code":"11740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Removal Impacted Cerumen (Sep Proc), One","code_information":[{"code":"CP17585600566711937","type":"CDM"},{"code":"521","type":"RC"},{"code":"69210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"11740 Evacuation Sublungal Hematoma","code_information":[{"code":"CP17585603283836640","type":"CDM"},{"code":"510","type":"RC"},{"code":"11740","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Complete blood cell count (CBC), with differential white blood cells, automated","code_information":[{"code":"35291","type":"CDM"},{"code":"301","type":"RC"},{"code":"85025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Complex Repair Trunk Additional","code_information":[{"code":"65512","type":"CDM"},{"code":"450","type":"RC"},{"code":"13102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cmplrpr Scalp/extremity Additional","code_information":[{"code":"65515","type":"CDM"},{"code":"450","type":"RC"},{"code":"13122","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cmplrpr Fhd/chk/chn/mth/nck/axil/gen/h/f","code_information":[{"code":"65517","type":"CDM"},{"code":"450","type":"RC"},{"code":"13133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Cmplrpr Facial Additional","code_information":[{"code":"65521","type":"CDM"},{"code":"450","type":"RC"},{"code":"13153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Complete blood cell count (CBC), with differential white blood cells, automated","code_information":[{"code":"751230","type":"CDM"},{"code":"301","type":"RC"},{"code":"85025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":101,"gross_charge":110,"discounted_cash":83,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":101},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Prefilled Nebulizer 1000/1070ml","code_information":[{"code":"60030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Ref-rhogam Vial","code_information":[{"code":"79141","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP79141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine-mpf 4% Top Solution: 5ml","code_information":[{"code":"303830","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303830","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trays, Circumcision","code_information":[{"code":"48025","type":"CDM"},{"code":"723","type":"RC"},{"code":"CP48025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Treatment Room","code_information":[{"code":"49576","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Tube Feeding Y-port Cnnctr 18fr+ (B4084)","code_information":[{"code":"50065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Airway Lma #3 Proseal Reusable","code_information":[{"code":"500067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP500067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Airway Lma #4 Proseal Reusable","code_information":[{"code":"500068","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP500068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Airway Lma #5 Proseal Reusable","code_information":[{"code":"500069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP500069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Fungus Culture Misc Sourcequest","code_information":[{"code":"751106","type":"CDM"},{"code":"300","type":"RC"},{"code":"87102","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Basic metabolic panel","code_information":[{"code":"758771","type":"CDM"},{"code":"301","type":"RC"},{"code":"80048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":23,"maximum":100,"gross_charge":109,"discounted_cash":82,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":100},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Injection Foot Nerve","code_information":[{"code":"CP17585600566675836","type":"CDM"},{"code":"521","type":"RC"},{"code":"64455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Injection Foot Nerve","code_information":[{"code":"CP17585603283949560","type":"CDM"},{"code":"510","type":"RC"},{"code":"64455","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Ck-mb","code_information":[{"code":"75018","type":"CDM"},{"code":"300","type":"RC"},{"code":"82553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"T4 (Thyroxine; Total)","code_information":[{"code":"75082","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Lipase   Quest","code_information":[{"code":"75089","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Fibrinogen Degradation Productsquest","code_information":[{"code":"75157","type":"CDM"},{"code":"300","type":"RC"},{"code":"85362","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Osmolality (Urine)quest","code_information":[{"code":"75172","type":"CDM"},{"code":"300","type":"RC"},{"code":"83935","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Fungus Culture Skin Hair Nailsque","code_information":[{"code":"75412","type":"CDM"},{"code":"300","type":"RC"},{"code":"87101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Lipase","code_information":[{"code":"350087","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".D-dimer, Qualtcrh -Discontinued","code_information":[{"code":"350095","type":"CDM"},{"code":"300","type":"RC"},{"code":"85362","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"T4 Totalquest","code_information":[{"code":"750156","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Osmolality Urine","code_information":[{"code":"750226","type":"CDM"},{"code":"300","type":"RC"},{"code":"83935","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Thyroxine Total","code_information":[{"code":"750753","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Mb Fraction Onlyi)","code_information":[{"code":"750761","type":"CDM"},{"code":"300","type":"RC"},{"code":"82553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Arc Rh Phenotyping (Ccee)","code_information":[{"code":"750800","type":"CDM"},{"code":"300","type":"RC"},{"code":"86906","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Nllrh Phenotype (C,e,c,e)","code_information":[{"code":"750946","type":"CDM"},{"code":"300","type":"RC"},{"code":"86906","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Thyroxine Total","code_information":[{"code":"751520","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Assay Of Thyroxine, Total","code_information":[{"code":"757100","type":"CDM"},{"code":"300","type":"RC"},{"code":"84436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Culture","code_information":[{"code":"758548","type":"CDM"},{"code":"300","type":"RC"},{"code":"87101","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Urostomy Wafer 1-3/4  Flange","code_information":[{"code":"52053","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"350008","type":"CDM"},{"code":"301","type":"RC"},{"code":"81000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"351212","type":"CDM"},{"code":"301","type":"RC"},{"code":"81001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":"K-wire 0.60mm X 70mm","code_information":[{"code":"48688","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":99,"gross_charge":108,"discounted_cash":81,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":99},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":48}]}]},{"description":".Complement Antigen Each Componenet","code_information":[{"code":"758644","type":"CDM"},{"code":"300","type":"RC"},{"code":"86160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Aspiration/injection; Sm","code_information":[{"code":"CP17585600566594721","type":"CDM"},{"code":"521","type":"RC"},{"code":"20600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Aspiration/injection; Sm","code_information":[{"code":"CP17585603283904981","type":"CDM"},{"code":"510","type":"RC"},{"code":"20600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Clavicle Brace Meek Size Medium","code_information":[{"code":"49146","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Clavicle Brace Meek Size Small","code_information":[{"code":"49395","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Dress Hydrocolloid 4.5x7.5 Duoderm Oval","code_information":[{"code":"52061","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52061","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":98,"gross_charge":107,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":98},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight  7mm","code_information":[{"code":"52154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight  8mm","code_information":[{"code":"52155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight  9mm","code_information":[{"code":"52156","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight 10mm","code_information":[{"code":"52157","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52157","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight 11mm","code_information":[{"code":"52158","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Vacurette Straight 12mm","code_information":[{"code":"52159","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Adult Divided  Etco2/o2  Cannula","code_information":[{"code":"52926","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52926","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Adult Divided  Etc O2/o2  Cannula Female","code_information":[{"code":"52969","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52969","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Hcg Serum Qualt","code_information":[{"code":"35167","type":"CDM"},{"code":"300","type":"RC"},{"code":"84703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Magnesium","code_information":[{"code":"35260","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Cultureafb & Stainstate Lab","code_information":[{"code":"75087","type":"CDM"},{"code":"300","type":"RC"},{"code":"87015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Hcg Qualitative Quest","code_information":[{"code":"75175","type":"CDM"},{"code":"300","type":"RC"},{"code":"84703","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Concentration (Any Type), For Infectiou","code_information":[{"code":"751942","type":"CDM"},{"code":"300","type":"RC"},{"code":"87015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Assay Of Magnesium","code_information":[{"code":"757935","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Concentration (Any Type) For Infectious","code_information":[{"code":"758243","type":"CDM"},{"code":"300","type":"RC"},{"code":"87015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Magnesium Rbcquest","code_information":[{"code":"758280","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":".Magnesium","code_information":[{"code":"758350","type":"CDM"},{"code":"300","type":"RC"},{"code":"83735","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":97,"gross_charge":106,"discounted_cash":80,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":97},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":47}]}]},{"description":"Trach Tube Holder Dale","code_information":[{"code":"49610","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49610","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":96,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Wound Drain Trocar 6mm 6","code_information":[{"code":"50225","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50225","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":96,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Ketoconazole 2% Cream:15 Gm-","code_information":[{"code":"301237","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":96,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dress Hydrocolloid 4x4 Restore Cx  A6234","code_information":[{"code":"50013","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6234","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":96,"gross_charge":105,"discounted_cash":79,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":96},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"11055 Pare/cut Benign Hyperkeratotic Les","code_information":[{"code":"CP17585600566586139","type":"CDM"},{"code":"521","type":"RC"},{"code":"11055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"11055 Pare/cut Benign Hyperkeratotic Les","code_information":[{"code":"CP17585603283834810","type":"CDM"},{"code":"510","type":"RC"},{"code":"11055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Osmolality (Serum)quest","code_information":[{"code":"75171","type":"CDM"},{"code":"300","type":"RC"},{"code":"83930","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Immunoglobulin G (Igg)quest","code_information":[{"code":"75215","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Igaquest","code_information":[{"code":"75283","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Ig A G M (Iga)","code_information":[{"code":"75324","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Ig A G M (Igg)","code_information":[{"code":"75325","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Ig A G M (Igm)","code_information":[{"code":"75326","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Igm","code_information":[{"code":"75337","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Immunoglobulins Iga Igm Igg Urine","code_information":[{"code":"75801","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Lithium","code_information":[{"code":"351131","type":"CDM"},{"code":"300","type":"RC"},{"code":"80178","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Immunoglobulin Mquest","code_information":[{"code":"750284","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Gammaglobulin","code_information":[{"code":"750765","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Gammaglobulin;each","code_information":[{"code":"751354","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Immunglobulin A Serum","code_information":[{"code":"751438","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Igdquest","code_information":[{"code":"751542","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Assay Of Gammaglobulin; Iga, Igd, Igg,","code_information":[{"code":"757112","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Assay Of Gammaglobulin; Iga, Igd, Igg","code_information":[{"code":"757116","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Assay Of Gammaglobulin; Iga, Igd, Igg,","code_information":[{"code":"757341","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Tetracaine 0.5% Opth Soln. 4ml","code_information":[{"code":"304204-11","type":"CDM"},{"code":"250","type":"RC"},{"code":"65074","type":"CPT","modifier":"11"}],"standard_charges":[{"setting":"outpatient","modifier_code":["11"],"minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":4,"type":"ML"}},{"description":"Tetracaine 0.5% Opth Soln. 4ml","code_information":[{"code":"304204","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bss 15ml","code_information":[{"code":"47121","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47121","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Transfusion Set Platelets","code_information":[{"code":"49104","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49104","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Baseplate Tocotransducer Beltless","code_information":[{"code":"49774","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49774","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Opt Contact Lens Remover","code_information":[{"code":"50307","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".Crystals (Synovial Fluid)quest","code_information":[{"code":"758627","type":"CDM"},{"code":"300","type":"RC"},{"code":"89060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Culture (Urine)quest","code_information":[{"code":"758671","type":"CDM"},{"code":"300","type":"RC"},{"code":"87086","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":".W/ Isolation & Presumptive Identificati","code_information":[{"code":"758722","type":"CDM"},{"code":"300","type":"RC"},{"code":"87088","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":22,"maximum":95,"gross_charge":104,"discounted_cash":78,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":95},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":46}]}]},{"description":"Osteopathic Manipulative Tr 3 Or 4 Body Regions","code_information":[{"code":"CP17585600566681939","type":"CDM"},{"code":"521","type":"RC"},{"code":"98926","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cki Total","code_information":[{"code":"35067","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Acid Phosphatase; Total & Fract","code_information":[{"code":"75223","type":"CDM"},{"code":"300","type":"RC"},{"code":"84060","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cch Coc Non Dot  Urine  10 Drug Scr","code_information":[{"code":"75925","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75925","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Creatinine Kinase A Iso","code_information":[{"code":"750166","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Creatine Kinase (Ck),(cpk),total","code_information":[{"code":"750762","type":"CDM"},{"code":"300","type":"RC"},{"code":"82550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Plasminogen Activityquest","code_information":[{"code":"751682","type":"CDM"},{"code":"300","type":"RC"},{"code":"85420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Single Drug Class Method, By Immunoassa","code_information":[{"code":"757153","type":"CDM"},{"code":"301","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Fibrinolytic Plasminogen","code_information":[{"code":"758171","type":"CDM"},{"code":"300","type":"RC"},{"code":"85420","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Pft-industrial","code_information":[{"code":"60074","type":"CDM"},{"code":"410","type":"RC"},{"code":"CP60074","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Hu Ab Reflex To Titer And Wbquest","code_information":[{"code":"758841","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Hu Antibody Titer","code_information":[{"code":"758843","type":"CDM"},{"code":"300","type":"RC"},{"code":"86256","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Lrp4 Autoantibody Testquest","code_information":[{"code":"758849","type":"CDM"},{"code":"300","type":"RC"},{"code":"86255","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cerv Collar Medium Narrow","code_information":[{"code":"49142","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":94,"gross_charge":103,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":94},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Ciprofloxacin Premix 200mg/100ml Ivpb","code_information":[{"code":"304062","type":"CDM"},{"code":"250","type":"RC"},{"code":"25021011482","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"D5/ns 0.45% Premix 1000ml","code_information":[{"code":"310021","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5/ns 0.9% Premix 1000ml","code_information":[{"code":"310371","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"D5w  Premix  100ml","code_information":[{"code":"310435","type":"CDM"},{"code":"258","type":"RC"},{"code":"26415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"D5w  Premix  250ml","code_information":[{"code":"310354","type":"CDM"},{"code":"258","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"D5w  Premix  500ml","code_information":[{"code":"310014","type":"CDM"},{"code":"258","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":500,"type":"ML"}},{"description":"D5w/lr Premix 1000ml","code_information":[{"code":"310370","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Dextrose 10% Premix  250ml","code_information":[{"code":"308251","type":"CDM"},{"code":"259","type":"RC"},{"code":"63323082424","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":250,"type":"ML"}},{"description":"Lactated Ringers Premix 1000ml","code_information":[{"code":"310029","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Levofloxacin Premix 500mg/100ml","code_information":[{"code":"303439","type":"CDM"},{"code":"636","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Levofloxacin Premix 750mg/150ml","code_information":[{"code":"304488","type":"CDM"},{"code":"636","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Magnesium Sulf. Premix 1gm/100ml","code_information":[{"code":"304605","type":"CDM"},{"code":"636","type":"RC"},{"code":"33817","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Metronidazole Premix 500mg/100ml","code_information":[{"code":"302176","type":"CDM"},{"code":"250","type":"RC"},{"code":"47335099301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Nacl 0.9% Addvantage Bag 100ml","code_information":[{"code":"304124","type":"CDM"},{"code":"272","type":"RC"},{"code":"40971","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Nacl 0.9% Premix   50ml","code_information":[{"code":"310345","type":"CDM"},{"code":"272","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Nacl 0.9% Premix  100ml","code_information":[{"code":"310346","type":"CDM"},{"code":"272","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Nacl 0.9% Premix  500ml","code_information":[{"code":"310035","type":"CDM"},{"code":"272","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Sterile Water For Irrigation 1000ml","code_information":[{"code":"303820","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303820","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gentamicin 120 Mg-ns 100ml: Premix","code_information":[{"code":"304397","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Anes Mask Toddler/child","code_information":[{"code":"49577","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49577","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Anes Mask Infant","code_information":[{"code":"49749","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Mask Non-rebreath Infant W/tubing","code_information":[{"code":"60185","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60185","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Amylase","code_information":[{"code":"35056","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Complete blood cell count (CBC), automated","code_information":[{"code":"35292","type":"CDM"},{"code":"301","type":"RC"},{"code":"85027","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cryoglobulins Screen W/ Reflexquest","code_information":[{"code":"75149","type":"CDM"},{"code":"300","type":"RC"},{"code":"82595","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"T3 Uptake","code_information":[{"code":"75214","type":"CDM"},{"code":"300","type":"RC"},{"code":"84479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"24h Ur Amylase  Quest","code_information":[{"code":"75723","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Activated Protein C Resistance Assay Pt1","code_information":[{"code":"75757","type":"CDM"},{"code":"300","type":"RC"},{"code":"85732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Iron","code_information":[{"code":"350115","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Iron             Crh","code_information":[{"code":"350117","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Complete blood cell count (CBC), automated","code_information":[{"code":"351179","type":"CDM"},{"code":"301","type":"RC"},{"code":"85027","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Iron                Quest","code_information":[{"code":"751479","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Thyroid (T3) Uptake","code_information":[{"code":"751521","type":"CDM"},{"code":"300","type":"RC"},{"code":"84479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cryoglobulin (% Cryocrit) Serumquest","code_information":[{"code":"758343","type":"CDM"},{"code":"300","type":"RC"},{"code":"82595","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":".Iron Quest","code_information":[{"code":"758781","type":"CDM"},{"code":"300","type":"RC"},{"code":"83540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Anes Circuit Breathing Adult-90 Dual Lim","code_information":[{"code":"52009","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Breathing Circuit Set Coaxial","code_information":[{"code":"52888","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52888","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":93,"gross_charge":102,"discounted_cash":77,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":93},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":45}]}]},{"description":"Cholesterol (Pleural Fluid)quest","code_information":[{"code":"758633","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Cholesterol (Peritoneal Fluid)quest","code_information":[{"code":"758634","type":"CDM"},{"code":"300","type":"RC"},{"code":"84311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Phototherapy Maskmedium","code_information":[{"code":"52026","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52026","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Et Tube Holder  Thomas  Adult Blue","code_information":[{"code":"52258","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52258","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Et Tube Holder  Thomas  Pink Pediatric","code_information":[{"code":"52330","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52330","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":101,"discounted_cash":76,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Nail Debridement 6-10","code_information":[{"code":"CP17585600566684186","type":"CDM"},{"code":"521","type":"RC"},{"code":"11721","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585600566728408","type":"CDM"},{"code":"521","type":"RC"},{"code":"99307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Subsqunt Nsg Facility Care, 3 Key Compon","code_information":[{"code":"CP17585603283952509","type":"CDM"},{"code":"510","type":"RC"},{"code":"99307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Arc Cold Agglutinin Screen","code_information":[{"code":"751020","type":"CDM"},{"code":"300","type":"RC"},{"code":"86156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Stereoisomer Analysis Single Drug Class","code_information":[{"code":"758190","type":"CDM"},{"code":"300","type":"RC"},{"code":"80374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Opiates 1 Or More","code_information":[{"code":"758198","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":".Oxycodone","code_information":[{"code":"758199","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Benzodiazepines Confirm (Qnt) Urinequ","code_information":[{"code":"758203","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Methadone Confirm (Qnt) Urinequest","code_information":[{"code":"758205","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Methylphenidate Metab Confirm (Qnt)ur","code_information":[{"code":"758208","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Tramadol Confirm (Qnt) Urinequest","code_information":[{"code":"758210","type":"CDM"},{"code":"300","type":"RC"},{"code":"80373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Phototherapy Masksmall","code_information":[{"code":"52025","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":21,"maximum":92,"gross_charge":100,"discounted_cash":75,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":92},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Oxygeninitial Eval","code_information":[{"code":"60129","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60129","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"K-wire 1.6mm X 127mm Ns","code_information":[{"code":"52560","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52560","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pap Smear Medicare","code_information":[{"code":"CP17585600566709156","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q0091","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pap Smear Medicare","code_information":[{"code":"CP17585600566717947","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q0091","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pap Smear Medicare","code_information":[{"code":"CP17585600566717947-G","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q0091","type":"HCPCS","modifier":"G"}],"standard_charges":[{"setting":"outpatient","modifier_code":["G"],"minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"29440 Addition Of Walker To Cast","code_information":[{"code":"CP17585603283881442","type":"CDM"},{"code":"510","type":"RC"},{"code":"29440","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pregnancy Test Urine Qualt Hcg","code_information":[{"code":"35111","type":"CDM"},{"code":"307","type":"RC"},{"code":"81025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Pt Mechanical Traction","code_information":[{"code":"55257-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97012","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Lipase (Peritoneal Fluid)quest","code_information":[{"code":"758657","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Lipase (Pleural Fluid)quest","code_information":[{"code":"758658","type":"CDM"},{"code":"300","type":"RC"},{"code":"83690","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Trays, Aspiration","code_information":[{"code":"48001","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48001","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Electrosurg Electrode Extended Blade","code_information":[{"code":"49228","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49228","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":91,"gross_charge":99,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":91},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":44}]}]},{"description":"Bili Mask","code_information":[{"code":"49027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Urine Drainage Bag Closed          A4357","code_information":[{"code":"49210","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49210","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Nutritional Vital Hn Each (B4153)","code_information":[{"code":"49652","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49652","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Cerv Collar X-sml Regular","code_information":[{"code":"49925","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Cerv Collar Large Regular","code_information":[{"code":"49928","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Cerv Collar X-lrg Regular","code_information":[{"code":"49929","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Pediatric 1-layer Foly Cath Tray 8fr","code_information":[{"code":"52468","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52468","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Pediatric 1-layer Foly Cath Tray 6fr","code_information":[{"code":"52469","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52469","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Peep Valve-adult Disposable","code_information":[{"code":"60160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":90,"gross_charge":98,"discounted_cash":74,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":90},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Iv Set Lipid Filter 1.2 Micron Non-deph","code_information":[{"code":"47992","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47992","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Anes. Circuit Ventilator Adult","code_information":[{"code":"49589","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49589","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Dtap-ipv Age 4-6","code_information":[{"code":"CP17585600566619796","type":"CDM"},{"code":"521","type":"RC"},{"code":"90696","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Office/op Visit, New Pt, 3 Key Component","code_information":[{"code":"CP17585600566683919","type":"CDM"},{"code":"521","type":"RC"},{"code":"99201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"D5w Premix 1000ml","code_information":[{"code":"310365","type":"CDM"},{"code":"258","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1000,"type":"ML"}},{"description":"Nacl 0.45% Premix 1000ml","code_information":[{"code":"310367","type":"CDM"},{"code":"272","type":"RC"},{"code":"99079","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Office/op Visit, New Pt, 3 Key Component","code_information":[{"code":"CP17585603283943326","type":"CDM"},{"code":"510","type":"RC"},{"code":"99201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Nacl 0.9% With Kcl 40 Meq 1000 Ml","code_information":[{"code":"304384","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304384","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Pain Mgt Opiates Expanded Quant (Urin","code_information":[{"code":"757165","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"758431","type":"CDM"},{"code":"301","type":"RC"},{"code":"84153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Total prostate-specific antigen (PSA) test","code_information":[{"code":"758432","type":"CDM"},{"code":"301","type":"RC"},{"code":"84154","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}]},{"description":"Azithromycin  Oral Susp. 200mg/5ml","code_information":[{"code":"303202","type":"CDM"},{"code":"637","type":"RC"},{"code":"42806014932","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Cefdinir Oral Susp. 250mg/5ml","code_information":[{"code":"312689","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877054898","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Cephalexin Oral Susp. 125mg/5ml","code_information":[{"code":"304536","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180044001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Ciprofloxacin 0.3% Opht. Soln. 2.5ml","code_information":[{"code":"312118","type":"CDM"},{"code":"637","type":"RC"},{"code":"69315030802","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":25,"type":"ML"}},{"description":"Cromolyn 4% Oph Sol:10 Ml","code_information":[{"code":"303858","type":"CDM"},{"code":"637","type":"RC"},{"code":"61314023710","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Hydrogel 100gm Jar","code_information":[{"code":"311537","type":"CDM"},{"code":"637","type":"RC"},{"code":"40565011527","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Latanoprost 0.005% Opht Soln. 2.5ml","code_information":[{"code":"303075","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762033302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":25,"type":"ML"}},{"description":"Lidocaine/prilo 2.5%/2.5% Cream 5gm","code_information":[{"code":"304146","type":"CDM"},{"code":"637","type":"RC"},{"code":"81033002505","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nystatin/triamcinolone Cream 15gm Tube","code_information":[{"code":"301138","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802088014","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Prochlorperazine Suppository 25mg","code_information":[{"code":"300389","type":"CDM"},{"code":"637","type":"RC"},{"code":"71301","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Silver Sulfadiazine 1% Cream 50gm","code_information":[{"code":"301581","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877012405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Timolol 0.5% Opth Soln. 5ml","code_information":[{"code":"309192","type":"CDM"},{"code":"637","type":"RC"},{"code":"61314022705","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Tropicamide 1% Opth Soln. 15ml","code_information":[{"code":"301144","type":"CDM"},{"code":"637","type":"RC"},{"code":"70069012101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Lidocaine/prilocaine 2.5% Cream 30 Gm","code_information":[{"code":"302927","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302927","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":89,"gross_charge":97,"discounted_cash":73,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":89},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":43}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nystatin Topical Powder 15gm Bottle","code_information":[{"code":"301139","type":"CDM"},{"code":"637","type":"RC"},{"code":"69315030615","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nystatin Topical Powder 30gm Bottle","code_information":[{"code":"312478","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312478","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zzheparin 1000 Units/500ml:cvp/art Line-","code_information":[{"code":"310362","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP310362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Foley Irr 30cc 20fr        *Latex*","code_information":[{"code":"49065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Shoulder Immobilizer Small","code_information":[{"code":"49138","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Shoulder Immobilizer Medium","code_information":[{"code":"49607","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Shoulder Immobilizer Large","code_information":[{"code":"49608","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3650","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Dress Hydrogel 2 X 2 Conformable","code_information":[{"code":"50261","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Porphobilinogen Qnt Random Urine","code_information":[{"code":"758792","type":"CDM"},{"code":"300","type":"RC"},{"code":"84110","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":88,"gross_charge":96,"discounted_cash":72,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":88},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585600566681275","type":"CDM"},{"code":"521","type":"RC"},{"code":"99212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Subsequent Hospital Care, Evaluation","code_information":[{"code":"CP17585600566719313","type":"CDM"},{"code":"521","type":"RC"},{"code":"99462","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Office/op Visit, Est Pt, 2 Key Component","code_information":[{"code":"CP17585603283941826","type":"CDM"},{"code":"510","type":"RC"},{"code":"99212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Subsequent Hospital Care, Evaluation","code_information":[{"code":"CP17585603283950199","type":"CDM"},{"code":"510","type":"RC"},{"code":"99462","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"35018","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Ldh","code_information":[{"code":"35076","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Iv Infusion Hydration Ea Additonal Hr","code_information":[{"code":"65411","type":"CDM"},{"code":"450","type":"RC"},{"code":"96361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Iv Infusion Therapy/propylxs/diag Add","code_information":[{"code":"65413","type":"CDM"},{"code":"450","type":"RC"},{"code":"96366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Iv Push Ea Additional Iv Push Of New Med","code_information":[{"code":"65418","type":"CDM"},{"code":"450","type":"RC"},{"code":"96375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Iv Push Ea Additional Iv Push Of Same Me","code_information":[{"code":"65419","type":"CDM"},{"code":"450","type":"RC"},{"code":"96376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"75758","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"750632","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Russell Viper Venom Time (Includes Veno","code_information":[{"code":"750634","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Fine Needle Asp Inter/report","code_information":[{"code":"750669","type":"CDM"},{"code":"311","type":"RC"},{"code":"88173","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Cytopath Interpretation,report","code_information":[{"code":"750699","type":"CDM"},{"code":"311","type":"RC"},{"code":"88173","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Diluted","code_information":[{"code":"750872","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Drvvt Dilution 1:1","code_information":[{"code":"751674","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Drvvt Scrn W/ Rflx Confirm & 1:1 Mix","code_information":[{"code":"751843","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":".Russell Viper Venom Time (Includes Veno","code_information":[{"code":"751916","type":"CDM"},{"code":"300","type":"RC"},{"code":"85613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"751917","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"752105","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"758172","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Coagulation assessment blood test","code_information":[{"code":"758219","type":"CDM"},{"code":"301","type":"RC"},{"code":"85730","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Hyddm Rgd Cann 7x75mm Single","code_information":[{"code":"52945","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP52945","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":20,"maximum":87,"gross_charge":95,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":87},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":42}]}]},{"description":"Packing Strip Iodoform 1","code_information":[{"code":"49066","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Cerv Collar Small Narrow","code_information":[{"code":"49136","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Dress Hydrogel Gel Wound Fill 1oz  A6248","code_information":[{"code":"50234","type":"CDM"},{"code":"270","type":"RC"},{"code":"A6248","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Exemestane(aromasin) Tab:25 Mg-","code_information":[{"code":"303896","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303896","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"43752 Naso Or Oro-gastric Tube Plcmt","code_information":[{"code":"CP17585603283894550","type":"CDM"},{"code":"510","type":"RC"},{"code":"43752","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"99282 Outpatient/er (V01/09)","code_information":[{"code":"CP17585603283902264","type":"CDM"},{"code":"510","type":"RC"},{"code":"99282","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Iv Set Primary With Filter","code_information":[{"code":"47999","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47999","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Application Of Finger Splint","code_information":[{"code":"65353","type":"CDM"},{"code":"450","type":"RC"},{"code":"29130","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Strapping Of Toes","code_information":[{"code":"65357","type":"CDM"},{"code":"450","type":"RC"},{"code":"29550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Removal Impacted Cerumen W/ Instrument","code_information":[{"code":"65391","type":"CDM"},{"code":"450","type":"RC"},{"code":"69210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Immunization Administration","code_information":[{"code":"65398","type":"CDM"},{"code":"771","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Debridement Of Nail","code_information":[{"code":"65438","type":"CDM"},{"code":"450","type":"RC"},{"code":"11720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Removal Impacted Cerumen W/o Instrument","code_information":[{"code":"65558","type":"CDM"},{"code":"450","type":"RC"},{"code":"69209","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Sputum For Direct Fluorescence Antibody","code_information":[{"code":"75227","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Special Stain/inclusion Bodies","code_information":[{"code":"750717","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Malaria/babesia/blood Parasitesquest","code_information":[{"code":"751024","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Microsporidia Examquest","code_information":[{"code":"757245","type":"CDM"},{"code":"300","type":"RC"},{"code":"87207","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Obs Scalp Electrode","code_information":[{"code":"49233","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Suction Collector Lid Berkley Device","code_information":[{"code":"49435","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49435","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Tube Feeding Pump Top Fill   (B4035)","code_information":[{"code":"49642","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49642","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Skin Traction Strip Medium 2.5x30","code_information":[{"code":"49949","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49949","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Sildenafil Tablet: 20mg","code_information":[{"code":"304217","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304217","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":86,"gross_charge":94,"discounted_cash":71,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":86},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dext. 20% 1000ml/2000ml","code_information":[{"code":"47091","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Amylase (Peritoneal Fluid)quest","code_information":[{"code":"758635","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Amylase (Pleural Fluid)quest","code_information":[{"code":"758636","type":"CDM"},{"code":"300","type":"RC"},{"code":"82150","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Packing Strip Plain 1","code_information":[{"code":"49191","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49191","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Packing Strip Iodoform 1/2","code_information":[{"code":"49252","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49252","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Stockinette Sterile  4 X36  Dbl Ply","code_information":[{"code":"49430","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49430","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Stockinette Sterile  3 X36  Dbl Ply","code_information":[{"code":"49432","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49432","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Vacurette Asst.sizes","code_information":[{"code":"49482","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Suction Poole Tips","code_information":[{"code":"49553","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49553","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Phone E/m Phys/qhp 21-30 Min","code_information":[{"code":"CP17585600566711387","type":"CDM"},{"code":"521","type":"RC"},{"code":"99443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Phone E/m Phys/qhp 21-30 Min","code_information":[{"code":"CP17585603283943682","type":"CDM"},{"code":"510","type":"RC"},{"code":"99443","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Arc Differential/auto Ads Each Adsorpti","code_information":[{"code":"750730","type":"CDM"},{"code":"300","type":"RC"},{"code":"86978","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Arc Differential Adsorption","code_information":[{"code":"750803","type":"CDM"},{"code":"300","type":"RC"},{"code":"86978","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Dilution Of Serum","code_information":[{"code":"750804","type":"CDM"},{"code":"300","type":"RC"},{"code":"86976","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":".Alidilution Of Serum","code_information":[{"code":"751029","type":"CDM"},{"code":"300","type":"RC"},{"code":"86976","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":85,"gross_charge":93,"discounted_cash":70,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":85},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":41}]}]},{"description":"Alpha Defensin (Synovial Fluid)quest","code_information":[{"code":"758825","type":"CDM"},{"code":"300","type":"RC"},{"code":"83518","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Dress Polyur.foam 4 X4  W/bordr Mepilex","code_information":[{"code":"52066","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Dress Polyur.foam 2 X2  W/bordr Mepilex","code_information":[{"code":"52489","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Plaster Splints 5 X30  Pk/10","code_information":[{"code":"49701","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49701","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Telehealth Establish Patient Audio Only 30 Minutes","code_information":[{"code":"CP17585600566720596","type":"CDM"},{"code":"521","type":"RC"},{"code":"98014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Cmv Negative Unit Additional Charge","code_information":[{"code":"22009","type":"CDM"},{"code":"391","type":"RC"},{"code":"CP22009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":84,"gross_charge":92,"discounted_cash":69,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":84},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Debridement Sub Tissue Each Additional 20 Sq Cm","code_information":[{"code":"CP17585600566608895","type":"CDM"},{"code":"521","type":"RC"},{"code":"11045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Measles, Mumps & Rubella Virus Vaccine (","code_information":[{"code":"CP17585600566672690","type":"CDM"},{"code":"521","type":"RC"},{"code":"90707","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Debridement Sub Tissue Each Additional 20 Sq Cm","code_information":[{"code":"CP17585603283917216","type":"CDM"},{"code":"510","type":"RC"},{"code":"11045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Intralipid 10% 500 Ml","code_information":[{"code":"47023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Legionella Culture   Quest  Part 1","code_information":[{"code":"750209","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Stone Renal Formation Diag.profile P-3","code_information":[{"code":"750221","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Streptococcus Group A Culturequest","code_information":[{"code":"751775","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Thrombin Clotting Time","code_information":[{"code":"752136","type":"CDM"},{"code":"300","type":"RC"},{"code":"85670","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Culture Screening Only","code_information":[{"code":"757064","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Carbapenem Resistant Enterobacter Scrn","code_information":[{"code":"757344","type":"CDM"},{"code":"300","type":"RC"},{"code":"87081","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Assay Of Calcium; Urine Quantitative, T","code_information":[{"code":"757932","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Calcium 24hr Urinequest","code_information":[{"code":"758112","type":"CDM"},{"code":"300","type":"RC"},{"code":"82340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Sickling Of Rbc Reduction","code_information":[{"code":"758576","type":"CDM"},{"code":"300","type":"RC"},{"code":"85660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Estradiol(climara)0.1mg/24h Patch: Each","code_information":[{"code":"303223","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Packing Strip Plain 1/2","code_information":[{"code":"49194","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49194","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Irrig Set Y-type (Turp Set)","code_information":[{"code":"49764","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49764","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Skin Traction Strip Small 2x24","code_information":[{"code":"49948","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49948","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Opt Cannula 25g","code_information":[{"code":"50163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Assay Of Volatiles","code_information":[{"code":"751832","type":"CDM"},{"code":"300","type":"RC"},{"code":"84600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Aerosol Tubing 6' W/6  Segments","code_information":[{"code":"60067","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60067","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Filter Bacterial/viral Iso-gard Hepa Lig","code_information":[{"code":"52485","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52485","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Filter Bi-pap Hfhm","code_information":[{"code":"60362","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Dress Hydrocolloid X-thin 6x6 Duo. A6235","code_information":[{"code":"52071","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":83,"gross_charge":91,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":83},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Bandage Coban Wrap Lf 4  Sterile","code_information":[{"code":"49029","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49029","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ostomy Irrg.sleeve W 1  Flange     A4398","code_information":[{"code":"49223","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49223","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ostomy Irrg.sleeve W 1-1/2  Flange A4398","code_information":[{"code":"49710","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49710","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ostomy Irrg.sleeve W 2  Flange     A4398","code_information":[{"code":"49711","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49711","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ostomy Irrg.sleeve W 2-1/2  Flange A4398","code_information":[{"code":"49712","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49712","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ostomy Irrg.sleeve W 4  Flange     A4398","code_information":[{"code":"49713","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49713","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Urostomy Pouch 1","code_information":[{"code":"49819","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49819","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ccm/bhi By Rhc/fqhc 20 Min","code_information":[{"code":"CP17585600566603419","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0511","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Triglycerides","code_information":[{"code":"35091","type":"CDM"},{"code":"301","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Ra; Titer (Rheumatoid Factor)","code_information":[{"code":"75232","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Quantitative","code_information":[{"code":"75534","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Cch Coc Non Dot  Urine  9 Drug Scr","code_information":[{"code":"75924","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75924","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Cch Coc Non Dot  Urine  8 Drug Scr","code_information":[{"code":"75928","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75928","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Connective Tissue Disease Panel (Refl-p2","code_information":[{"code":"750506","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Rheumatoid Factorquest","code_information":[{"code":"750682","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Arc Ab Id/each Selected Reagent Cell","code_information":[{"code":"750989","type":"CDM"},{"code":"300","type":"RC"},{"code":"86885","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Rheumatoid Factor","code_information":[{"code":"751660","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Methyl Alcoholquest","code_information":[{"code":"751928","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Rheumatoid Factor","code_information":[{"code":"758521","type":"CDM"},{"code":"300","type":"RC"},{"code":"86431","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Aerosol Mask & Tubing","code_information":[{"code":"60021","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60021","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Tetanus And Diptheria Toxoid Im >7y","code_information":[{"code":"65402","type":"CDM"},{"code":"636","type":"RC"},{"code":"90714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tetanus Diptheria Pertussis Vaccine >7y","code_information":[{"code":"65403","type":"CDM"},{"code":"636","type":"RC"},{"code":"90715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Line Grip 2 Slot","code_information":[{"code":"49052","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Packing Strip Plain 1/4","code_information":[{"code":"49173","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49173","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Dress Hydrocolloid 4x4 Duoderm     A6234","code_information":[{"code":"49472","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6234","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Stethoscope Esophageal 18fr","code_information":[{"code":"49536","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49536","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Guide Endo Tube Pedilette","code_information":[{"code":"49599","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49599","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":"Stethoscope Esophageal 12fr","code_information":[{"code":"52431","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52431","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":19,"maximum":82,"gross_charge":90,"discounted_cash":68,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":82},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":40}]}]},{"description":".Gtt, 3 Specimens","code_information":[{"code":"351144","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Wafer W 1-3/4  Flange Convx A4407","code_information":[{"code":"50332","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Pain Mgt, Marijuana Metabolite, Quant","code_information":[{"code":"757161","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"25g Disposable Hydrodisection Canula","code_information":[{"code":"52466","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone 30cc 18fr","code_information":[{"code":"52023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone  3cc  8fr","code_information":[{"code":"52039","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone  3cc 10fr","code_information":[{"code":"52040","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone  5cc 12fr","code_information":[{"code":"52041","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52041","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone 30cc 16fr","code_information":[{"code":"52042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cath Foley Silicone 30cc 20fr","code_information":[{"code":"52043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Fentanyl And Norfentanyl, Urine","code_information":[{"code":"752130","type":"CDM"},{"code":"300","type":"RC"},{"code":"80354","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Tissue Transgultaminase Each Ig Class","code_information":[{"code":"758794","type":"CDM"},{"code":"300","type":"RC"},{"code":"86364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Opt Cystotome Irrigating 25g","code_information":[{"code":"49425","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Meconium Aspirator","code_information":[{"code":"49775","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49775","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:p","code_information":[{"code":"CP17585600566711372","type":"CDM"},{"code":"521","type":"RC"},{"code":"99231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Subsequent Hosp Care 2+ Key Components:p","code_information":[{"code":"CP17585603283955754","type":"CDM"},{"code":"510","type":"RC"},{"code":"99231","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Travasol 8.5% 500ml","code_information":[{"code":"47053","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Cytopath Concentration Techinique","code_information":[{"code":"750524","type":"CDM"},{"code":"310","type":"RC"},{"code":"88108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Homocysteineali","code_information":[{"code":"750854","type":"CDM"},{"code":"300","type":"RC"},{"code":"83090","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Pain Mgt Cocaine Metabolite Quant (Ur","code_information":[{"code":"757160","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Eakin Skin Barrier Ring Sml A4385","code_information":[{"code":"50334","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50334","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":89,"discounted_cash":67,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Sling Cradle Arm Size Medium","code_information":[{"code":"49106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Sling Cradle Arm Size Large","code_information":[{"code":"49107","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Dress Mitraflex 4x4                A6212","code_information":[{"code":"49678","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6212","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Wafer W 1-3/4  Flange","code_information":[{"code":"50093","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Wafer W 2-1/4  Flange","code_information":[{"code":"50094","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Wafer W 2-3/4  Flange","code_information":[{"code":"50095","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50095","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Irrg.sleeve W 2-1/4  Flange A4397","code_information":[{"code":"50100","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Ostomy Irrg.sleeve W 2-3/4  Flange A4398","code_information":[{"code":"50101","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Viscera Retainer Radiopaque Center Spine","code_information":[{"code":"52324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Vent Circuit Adult Single Limb","code_information":[{"code":"52474","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52474","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Vent Circuit Mdl 760 Adult","code_information":[{"code":"60020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Mpr Head&chin Strap Single Use","code_information":[{"code":"52851","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52851","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Cell Count W/ Diff","code_information":[{"code":"35251","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Sickle Cell Screenquest","code_information":[{"code":"75556","type":"CDM"},{"code":"300","type":"RC"},{"code":"85660","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Csf Evaluation","code_information":[{"code":"350093","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Serous Fluid Evaluation","code_information":[{"code":"350097","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":".Synovial Fluid Evaluation","code_information":[{"code":"350098","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Reticulocyte Count","code_information":[{"code":"351104","type":"CDM"},{"code":"300","type":"RC"},{"code":"85046","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Csf Hematology Evaluation","code_information":[{"code":"351113","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Serous Fluid Hematology Evaluation","code_information":[{"code":"351114","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Synovial Fluid Hematology Evaluation","code_information":[{"code":"351116","type":"CDM"},{"code":"300","type":"RC"},{"code":"89051","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":81,"gross_charge":88,"discounted_cash":66,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":81},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":39}]}]},{"description":"Lactate Dehydrogenase (Ld)peritoneal","code_information":[{"code":"758628","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":80,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Lactate Dehydrogenase (Ld)pleural Flu","code_information":[{"code":"758629","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":80,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Lactate Dehydrogenase (Ld)synovial","code_information":[{"code":"758717","type":"CDM"},{"code":"300","type":"RC"},{"code":"83615","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":80,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Cea (Pleural Fluid)quest","code_information":[{"code":"758718","type":"CDM"},{"code":"300","type":"RC"},{"code":"82378","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":80,"gross_charge":87,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":80},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Phenylalaninequest","code_information":[{"code":"75058","type":"CDM"},{"code":"300","type":"RC"},{"code":"84030","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Reducing Substances Stoolquest","code_information":[{"code":"750836","type":"CDM"},{"code":"300","type":"RC"},{"code":"84376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Atomic Absorption Spectroscopy Each Dahl","code_information":[{"code":"751182","type":"CDM"},{"code":"300","type":"RC"},{"code":"82190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Casting Tape Fiberglass 2","code_information":[{"code":"49673","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}]},{"description":"Levofloxacin Tab: 500 Mg","code_information":[{"code":"300535-51","type":"CDM"},{"code":"637","type":"RC"},{"code":"45152","type":"CPT","modifier":"51"}],"standard_charges":[{"setting":"outpatient","modifier_code":["51"],"minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Levofloxacin Tab: 500 Mg","code_information":[{"code":"300535","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":79,"gross_charge":86,"discounted_cash":65,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":79},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":38}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Iv Set Buretrol 150ml","code_information":[{"code":"47046","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47046","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Splint Finger P.i.p.e.sz Medium","code_information":[{"code":"52033","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3925","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Splint Finger P.i.p.e.sz Small","code_information":[{"code":"52034","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3925","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Armboard Adult Disposable","code_information":[{"code":"49005","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Sling Cradle Arm Size X Large","code_information":[{"code":"49108","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49108","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Ostomy Loop Drainable Pouch 4 1/2","code_information":[{"code":"49230","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Sling Cradle Arm Size X Small","code_information":[{"code":"49259","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Sling Cradle Arm Size Small","code_information":[{"code":"49264","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49264","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Lta Kit","code_information":[{"code":"49508","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49508","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Biopsy Endometrial Sampler 10.8  .31cmdi","code_information":[{"code":"50069","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Biopsy Endometrial Samplr Selectcellmini","code_information":[{"code":"493398","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP493398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Assay Of Gammaglobulin","code_information":[{"code":"758845","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Gammaglobulin","code_information":[{"code":"758847","type":"CDM"},{"code":"300","type":"RC"},{"code":"82784","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Pelvic/breast Exam Medicare","code_information":[{"code":"CP17585600566712837","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0101","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Direct Coombs","code_information":[{"code":"35161","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Ot E-stim Unattended","code_information":[{"code":"55433-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97014","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Pt E-stim Unattended","code_information":[{"code":"55434-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"G0283","type":"HCPCS","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Blood Occult By Fecal Hemoglobin Determ","code_information":[{"code":"65394","type":"CDM"},{"code":"300","type":"RC"},{"code":"82272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Smear, Fluorescent/acid Stain","code_information":[{"code":"75411","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"24h Ur Albumin (Micro)  Quest","code_information":[{"code":"75619","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Urine,micro Albumin ,Quant","code_information":[{"code":"350101","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Urine Microalbumin 24h Ur","code_information":[{"code":"351186","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"24//or 12hr-microalbumin-urine Quest","code_information":[{"code":"750025","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Nlldat, Each Anti-sera","code_information":[{"code":"750932","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Arc Dat, Each Antisera","code_information":[{"code":"750988","type":"CDM"},{"code":"300","type":"RC"},{"code":"86880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Microalbumin","code_information":[{"code":"751459","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Albumin; Urine, Microalbumin, Quantitat","code_information":[{"code":"757306","type":"CDM"},{"code":"300","type":"RC"},{"code":"82043","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Fluorescent And/or Acid Fast Stain For","code_information":[{"code":"758132","type":"CDM"},{"code":"300","type":"RC"},{"code":"87206","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Iv Set Primary Blood Set","code_information":[{"code":"47048","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Mts Traction Boot Liner Sz Large","code_information":[{"code":"48345","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48345","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Mts Traction Boot Liner Sz Small","code_information":[{"code":"48346","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48346","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Douche Kit","code_information":[{"code":"49160","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49160","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Guide Endo Tube  6fr","code_information":[{"code":"49410","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Tray Tracheostomy Cleaning","code_information":[{"code":"49645","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49645","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Casting Tape Fiberglass 3","code_information":[{"code":"49674","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49674","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Tube Trach Inner Cannula Sz 6","code_information":[{"code":"50205","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":18,"maximum":78,"gross_charge":85,"discounted_cash":64,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":78},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Mnt Telemedicine Assessment (11-20 Min)","code_information":[{"code":"85019","type":"CDM"},{"code":"510","type":"RC"},{"code":"98967","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Alt","code_information":[{"code":"35086","type":"CDM"},{"code":"301","type":"RC"},{"code":"84460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Arterial Cath For Samp/mntr/transfusion","code_information":[{"code":"65371","type":"CDM"},{"code":"450","type":"RC"},{"code":"36620","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":".Transferase; Alanine Amino (Alt) (Sgpt)","code_information":[{"code":"757243","type":"CDM"},{"code":"301","type":"RC"},{"code":"84460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Rib Belt Female Size Universal","code_information":[{"code":"49109","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0220","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Ostomy Loop Drainable Pouch 3 1/2","code_information":[{"code":"49229","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Anes Circuit Pediatric","code_information":[{"code":"49552","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49552","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Tubing R-vct Wall Adapter","code_information":[{"code":"49735","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49735","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":77,"gross_charge":84,"discounted_cash":63,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":77},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Cath Foley  5cc 18fr             *Latex*","code_information":[{"code":"49039","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49039","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":76,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Suction Can Specimen Sock 1500 & 3000cc","code_information":[{"code":"49055","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49055","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":76,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Triglycerides (Peritoneal Fluid)quest","code_information":[{"code":"758663","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":76,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"Triglycerides (Pleural Fluid)quest","code_information":[{"code":"758664","type":"CDM"},{"code":"300","type":"RC"},{"code":"84478","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":76,"gross_charge":83,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":76},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":37}]}]},{"description":"48 Hr Holter W/report","code_information":[{"code":"CP17585603283906603","type":"CDM"},{"code":"510","type":"RC"},{"code":"93226","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cath Pedi Urine Spec Kit","code_information":[{"code":"50380","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Id Definitive Aerobic","code_information":[{"code":"350013","type":"CDM"},{"code":"300","type":"RC"},{"code":"87077","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Rast Banana  Quest","code_information":[{"code":"750213","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750243","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750244","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750245","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750246","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750247","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750248","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige Each","code_information":[{"code":"750249","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige Each","code_information":[{"code":"750250","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750251","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750252","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750253","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750254","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige Each","code_information":[{"code":"750255","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige","code_information":[{"code":"750256","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 1","code_information":[{"code":"750298","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 2","code_information":[{"code":"750299","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 3","code_information":[{"code":"750300","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 4","code_information":[{"code":"750301","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 1","code_information":[{"code":"750302","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 6","code_information":[{"code":"750303","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 7","code_information":[{"code":"750304","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 8","code_information":[{"code":"750305","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 9","code_information":[{"code":"750306","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 10","code_information":[{"code":"750307","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 11","code_information":[{"code":"750308","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 12","code_information":[{"code":"750309","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"North-east Profile I  Part 13","code_information":[{"code":"750310","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenwheat Igequest","code_information":[{"code":"750516","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergensoybean Igequest","code_information":[{"code":"750517","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenegg Whitequest","code_information":[{"code":"750518","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergencow's Milk (F2) Igequest","code_information":[{"code":"750519","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific","code_information":[{"code":"750606","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific","code_information":[{"code":"750607","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific","code_information":[{"code":"750608","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific","code_information":[{"code":"750609","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenlatex Igequest","code_information":[{"code":"750616","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenwhite Ash (T15) Igequest","code_information":[{"code":"750675","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Popular Ige (Tree)               Quest","code_information":[{"code":"750678","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Pine Ige (Tree)                  Quest","code_information":[{"code":"750680","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenbeech Tree Quest","code_information":[{"code":"750704","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhouse Dust(h-s) Quest","code_information":[{"code":"750709","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergencat Dander Igequest","code_information":[{"code":"750713","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenstrawberry Ige","code_information":[{"code":"750721","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Specific Ige,quant,semi-quant","code_information":[{"code":"750844","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenbeef Igequest","code_information":[{"code":"750879","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenscallop Igequest","code_information":[{"code":"750880","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenchicken Meat","code_information":[{"code":"750881","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenpeanut Igequest","code_information":[{"code":"750882","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenshrimp Igequest","code_information":[{"code":"750883","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenwalnut Igequest","code_information":[{"code":"750884","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergendog Dander Ige (E5)quest","code_information":[{"code":"750885","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhouse Dust Igequest","code_information":[{"code":"750886","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Egg White Ige","code_information":[{"code":"750896","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Tomato Ige","code_information":[{"code":"750897","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Chocolate Ige","code_information":[{"code":"750898","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Pork Ige","code_information":[{"code":"750899","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenmussel Igequest","code_information":[{"code":"750952","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Chicken Meat Ige","code_information":[{"code":"750991","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Milk Ige","code_information":[{"code":"750992","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Peanut Ige","code_information":[{"code":"750993","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Shrimp Ige","code_information":[{"code":"750994","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Soybean Ige","code_information":[{"code":"750995","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Walnut Ige","code_information":[{"code":"750996","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Wheat Ige","code_information":[{"code":"750997","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cat Dander Ige","code_information":[{"code":"750998","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Dog Epithelium Ige","code_information":[{"code":"750999","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"English Planton Ige","code_information":[{"code":"751000","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"House Dust Greer Ige","code_information":[{"code":"751002","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"House Dust Holl. Stier Ige","code_information":[{"code":"751003","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Timothy Grass Ige","code_information":[{"code":"751004","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Alternaria Alternata Ige","code_information":[{"code":"751005","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cladosporium Herbarum Ige","code_information":[{"code":"751006","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Common Ragweed Ige","code_information":[{"code":"751007","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Lambs Quarter Ige","code_information":[{"code":"751008","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"White Oak Ige","code_information":[{"code":"751009","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Dermatophagoides Pteronyssinus Ige","code_information":[{"code":"751010","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Dermatophagoides Farinae Ige","code_information":[{"code":"751011","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Buckwheat Ige","code_information":[{"code":"751013","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Rye Ige","code_information":[{"code":"751014","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergen Scallops Ige","code_information":[{"code":"751015","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenclam Igequest","code_information":[{"code":"751042","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergencodfish Igequest","code_information":[{"code":"751043","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergencrab Igequest","code_information":[{"code":"751044","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenlobster Igequest","code_information":[{"code":"751045","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenoyster Igequest","code_information":[{"code":"751046","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergensalmon Igequest","code_information":[{"code":"751047","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergentrout Ige","code_information":[{"code":"751048","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergentuna Igequest","code_information":[{"code":"751049","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenshrimp","code_information":[{"code":"751050","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Aspergillis Fumigatus (M3) Igequest","code_information":[{"code":"751061","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenapple  Quest","code_information":[{"code":"751143","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Mandarin (F302) Igequest","code_information":[{"code":"751169","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenalmond Igequest","code_information":[{"code":"751170","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhazelnut Igequest","code_information":[{"code":"751172","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenegg Yolk Igequest","code_information":[{"code":"751173","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergensesame Seed Igequest","code_information":[{"code":"751222","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergengarlic","code_information":[{"code":"751226","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhoney Bee Igequest","code_information":[{"code":"751268","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenwhite Faced Hornet Igeque","code_information":[{"code":"751269","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenyellow Hornet Igequest","code_information":[{"code":"751270","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenyellow Jacket Igequest","code_information":[{"code":"751271","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenwasps Paper Igequest","code_information":[{"code":"751272","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Allergen Specific","code_information":[{"code":"751321","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Beetroot (F319) Igequest","code_information":[{"code":"751492","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Allergen Specific Ige; Quant Or Semiqua","code_information":[{"code":"751527","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Allergen Specific Ige","code_information":[{"code":"751591","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Timothy Grass (G6) Ige","code_information":[{"code":"751592","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Common Ragweed (Short) (W1) Ige","code_information":[{"code":"751593","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Mugwort (W6) Ige","code_information":[{"code":"751594","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Maple (Box Elder) (T1) Ige","code_information":[{"code":"751595","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Birch (T3) Ige","code_information":[{"code":"751596","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".White Oak (T7) Ige","code_information":[{"code":"751597","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Elm (T8) Ige","code_information":[{"code":"751598","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Walnut Tree (T10) Ige","code_information":[{"code":"751599","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cottonwood (T14) Ige","code_information":[{"code":"751600","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".White Ash (T15) Ige","code_information":[{"code":"751601","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cat Epithelium And Dander (E1) Ige","code_information":[{"code":"751602","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Dog Dander (E5) Ige","code_information":[{"code":"751603","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Penicillium Notatum (M1) Ige","code_information":[{"code":"751604","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cladosporium Herbarum (M2) Ige","code_information":[{"code":"751606","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Aspergillus Fumigatus (M3) Ige","code_information":[{"code":"751607","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Alternaria Alternata (M6) Ige","code_information":[{"code":"751608","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Dermatophagoides Pteronyssinus (D1) Ige","code_information":[{"code":"751609","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Dermatophagoides Farinae (D2) Ige","code_information":[{"code":"751610","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cockroach (I6) Ige","code_information":[{"code":"751611","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Sheep Sorrel (W18) Ige","code_information":[{"code":"751613","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Mountain Cedar (T6) Ige","code_information":[{"code":"751614","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Sycamore Allergen, Ige","code_information":[{"code":"751615","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".White Mulberry (T70) Ige","code_information":[{"code":"751616","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Common Pigweed (W14) Ige","code_information":[{"code":"751617","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Alternaria Alternata (Tenius)","code_information":[{"code":"751693","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Aspergillus Fumigatus","code_information":[{"code":"751694","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Bahia Grass","code_information":[{"code":"751695","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Bermuda Grass","code_information":[{"code":"751696","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cat Epithelium & Dander","code_information":[{"code":"751697","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Cottonwood Tree","code_information":[{"code":"751698","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".D. Farinae (Mites)","code_information":[{"code":"751699","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Dog Epithelium","code_information":[{"code":"751700","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Egg White","code_information":[{"code":"751701","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Elm Tree","code_information":[{"code":"751702","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Giant Ragweed","code_information":[{"code":"751703","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".False Ragweed","code_information":[{"code":"751704","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Hormodendrum (Cladosporium)","code_information":[{"code":"751705","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".House Dust Greer","code_information":[{"code":"751706","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".House Dust Stier","code_information":[{"code":"751707","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Johnson Grass","code_information":[{"code":"751709","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".June Grass/kentucky Buegrass","code_information":[{"code":"751710","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Lamb's Quarters","code_information":[{"code":"751711","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Box Elder/maple Tree","code_information":[{"code":"751712","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Marsh Elder","code_information":[{"code":"751713","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Mesquite Tree","code_information":[{"code":"751714","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Milk (Cow's)","code_information":[{"code":"751715","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Mountain Cedar (Juniper Tree)","code_information":[{"code":"751716","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Oak Tree","code_information":[{"code":"751717","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Pecan (White Hickory) Tree","code_information":[{"code":"751718","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Penicillium Notatum","code_information":[{"code":"751719","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Russian Thistle","code_information":[{"code":"751720","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Timothy Grass","code_information":[{"code":"751721","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Wheat","code_information":[{"code":"751722","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".White Ash Tree","code_information":[{"code":"751723","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Sagebrush/wormwood","code_information":[{"code":"751725","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Allergen Specific Ige, Quantitative","code_information":[{"code":"751807","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhaddock Igequest","code_information":[{"code":"752119","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Macadamia Nut Ige (Rf345)quest","code_information":[{"code":"757071","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Brazil Nut Ige (F18)quest","code_information":[{"code":"757072","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cashew Nut Ige (F202)quest","code_information":[{"code":"757073","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Allergen Specific Ige","code_information":[{"code":"757084","type":"CDM"},{"code":"300","type":"RC"},{"code":"86008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Casein (F78) Iggquest","code_information":[{"code":"758082","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Gluten (F79) Igg Abquest","code_information":[{"code":"758083","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenhalibut","code_information":[{"code":"758217","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Galactose Alpha-1-3 Galactose Igeques","code_information":[{"code":"758286","type":"CDM"},{"code":"300","type":"RC"},{"code":"86008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Immunocap Score Ige","code_information":[{"code":"758392","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".D Pteronyssius","code_information":[{"code":"758394","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Short Ragweed","code_information":[{"code":"758395","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Goose Feathers","code_information":[{"code":"758396","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Anaerobic Id Isolate Additional Method","code_information":[{"code":"758724","type":"CDM"},{"code":"300","type":"RC"},{"code":"87076","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Penicilloyl G (C1) Igequest","code_information":[{"code":"758777","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Penicilloyl V (C2) Igequest","code_information":[{"code":"758778","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenchicken Feathersquest","code_information":[{"code":"758803","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergencatfish Igequest","code_information":[{"code":"758820","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergengulf Flounder Igequest","code_information":[{"code":"758821","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenperch Ocean Igequest","code_information":[{"code":"758822","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergentrout Igequest","code_information":[{"code":"758823","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Allergenbass Black Igequest","code_information":[{"code":"758824","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Aspergillus Fumigatus (M3) Iggquest","code_information":[{"code":"798402","type":"CDM"},{"code":"300","type":"RC"},{"code":"86001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Dress Hydrofiber 4x5 Aquacel       A6242","code_information":[{"code":"49584","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6242","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Tri-pack Albuterol Inh/neb Sol 2.5mg/3ml","code_information":[{"code":"304450","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7613","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tri-pack Ipratropium Neb:0.5mg/2.5ml","code_information":[{"code":"304451","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7644","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dry Needling 3+ Muscles","code_information":[{"code":"55201","type":"CDM"},{"code":"420","type":"RC"},{"code":"20561","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Urine Leg Bag Disposable Medium    A4358","code_information":[{"code":"49226","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vacurette Flextip 6mm","code_information":[{"code":"49458","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49458","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vacurette Flextip 7mm","code_information":[{"code":"49459","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49459","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Vacurette Flextip 8mm","code_information":[{"code":"49460","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49460","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Guide Endo Tube 14fr","code_information":[{"code":"49600","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49600","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cerv Collar Small Regular","code_information":[{"code":"49926","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Cerv Collar Medium Regular","code_information":[{"code":"49927","type":"CDM"},{"code":"274","type":"RC"},{"code":"L0120","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Tube Feeding Pump 600 Spike Set  (B4035)","code_information":[{"code":"50027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ostomy Pouch W 1-3/4  Flnge W/fltr A4425","code_information":[{"code":"50333","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Intubating Tube 10fr","code_information":[{"code":"52490","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52490","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Platelet Processing Fee","code_information":[{"code":"35255","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP35255","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":75,"gross_charge":82,"discounted_cash":62,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":75},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Line Grip 4 Slot","code_information":[{"code":"49053","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ostomy Wafer W 1  Flange","code_information":[{"code":"49213","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ostomy Wafer W 1-1/2  Flange","code_information":[{"code":"49219","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49219","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ostomy Wafer W 2  Flange","code_information":[{"code":"49220","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49220","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ostomy Wafer W 2-1/2  Flange","code_information":[{"code":"49224","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"E-surg Grounding Pad Rem Adult","code_information":[{"code":"49786","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49786","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Calcium","code_information":[{"code":"35060","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Creatinine","code_information":[{"code":"35064","type":"CDM"},{"code":"300","type":"RC"},{"code":"82565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Alp","code_information":[{"code":"35078","type":"CDM"},{"code":"300","type":"RC"},{"code":"84075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ast","code_information":[{"code":"35085","type":"CDM"},{"code":"300","type":"RC"},{"code":"84450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Mono (Heterophile Antibodies; Screen)","code_information":[{"code":"35239","type":"CDM"},{"code":"300","type":"RC"},{"code":"86308","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"75541","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine; Other Source","code_information":[{"code":"75547","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Creatinine, Urine Random","code_information":[{"code":"350040","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Urine Creatinine 24h Urcrh","code_information":[{"code":"350059","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Urine Creat Random-crh","code_information":[{"code":"350071","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine, Blood Dialysate","code_information":[{"code":"350083","type":"CDM"},{"code":"300","type":"RC"},{"code":"82565","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine Other Source Micro","code_information":[{"code":"350100","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"C-reactive Protein","code_information":[{"code":"351123","type":"CDM"},{"code":"300","type":"RC"},{"code":"86140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine; Other Source","code_information":[{"code":"351135","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Stone Renal Formation Diag.profile P-6","code_information":[{"code":"750224","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Phosphorus Inorganic, Urine","code_information":[{"code":"750228","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Creatinine Blood-other Source2","code_information":[{"code":"750329","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Connective Tissue Disease Panel (Refl-p3","code_information":[{"code":"750507","type":"CDM"},{"code":"300","type":"RC"},{"code":"86140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Alk Phos Bone Specificquest","code_information":[{"code":"750551","type":"CDM"},{"code":"300","type":"RC"},{"code":"84075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Indirect Titer","code_information":[{"code":"750805","type":"CDM"},{"code":"300","type":"RC"},{"code":"86886","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Nllantibody Titer, Each Antibody","code_information":[{"code":"750941","type":"CDM"},{"code":"300","type":"RC"},{"code":"86886","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine; Other Source","code_information":[{"code":"750968","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751068","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751070","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751073","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751077","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751080","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Calcium;total","code_information":[{"code":"751290","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine Other Scource     Quest","code_information":[{"code":"751365","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Alk Phos","code_information":[{"code":"751383","type":"CDM"},{"code":"300","type":"RC"},{"code":"84075","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"751386","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine Other Source","code_information":[{"code":"751418","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine Other Source","code_information":[{"code":"751504","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"751537","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine-other Source","code_information":[{"code":"751550","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"751555","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"751579","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinine, 24-hour Urine","code_information":[{"code":"751726","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"751736","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Creatinin; Other Source Urine","code_information":[{"code":"751812","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"752038","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine; Other Source","code_information":[{"code":"757030","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Calcium; Total","code_information":[{"code":"757106","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"757110","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"757275","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine: Other Source","code_information":[{"code":"757278","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine; Other Source","code_information":[{"code":"757307","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine: Other Source","code_information":[{"code":"757934","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Phosphorus Inorganic (Phosphat","code_information":[{"code":"757938","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Creatinine (Peritoneal Fluid)quest","code_information":[{"code":"757943","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".C-reactive Protein","code_information":[{"code":"757982","type":"CDM"},{"code":"300","type":"RC"},{"code":"86140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Assay Of Creatinine, Other Source","code_information":[{"code":"757992","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"758048","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Calcium Random Urine W/o Creatquest","code_information":[{"code":"758113","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Phosphate 24 Hr Urine (W/o Creat) Que","code_information":[{"code":"758186","type":"CDM"},{"code":"300","type":"RC"},{"code":"84105","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Calcium Total","code_information":[{"code":"758224","type":"CDM"},{"code":"300","type":"RC"},{"code":"82310","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"758225","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"758345","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Other Source","code_information":[{"code":"758349","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":".Crp","code_information":[{"code":"758522","type":"CDM"},{"code":"300","type":"RC"},{"code":"86140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Nitroglycerin Sl Tab 0.4mg-25 Ct. Bottle","code_information":[{"code":"301264","type":"CDM"},{"code":"637","type":"RC"},{"code":"69339017441","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Tube Holder Nasogastric 12 To 18 Fr","code_information":[{"code":"49771","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49771","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Ortho Exoflow Cassette","code_information":[{"code":"52514","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52514","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":74,"gross_charge":81,"discounted_cash":61,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":74},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":36}]}]},{"description":"Iohexol Vial 4500mg/500ml","code_information":[{"code":"311951","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP311951","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"11732 Avulsion Nail Plate/single,ea Addl","code_information":[{"code":"CP17585600566598869","type":"CDM"},{"code":"521","type":"RC"},{"code":"11732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"11732 Avulsion Nail Plate/single,ea Addl","code_information":[{"code":"CP17585603283839105","type":"CDM"},{"code":"510","type":"RC"},{"code":"11732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Ot Ultrasound","code_information":[{"code":"55076-GO","type":"CDM"},{"code":"430","type":"RC"},{"code":"97035","type":"CPT","modifier":"GO"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GO"],"minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Pt Ultrasound","code_information":[{"code":"55407-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97035","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Urine Chloride 24h Ur","code_information":[{"code":"350066","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Urine Chloride Randomcrh","code_information":[{"code":"350078","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Fecal Fat Qltquest","code_information":[{"code":"757043","type":"CDM"},{"code":"300","type":"RC"},{"code":"82705","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Wound Drain Universal Connector","code_information":[{"code":"49028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Packing Strip Iodoform 1/4","code_information":[{"code":"49251","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49251","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Dress Calcm-alginate Strip 12  Sorbsan","code_information":[{"code":"50233","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Dress Hydrogel 3-3/4x3-3/4 Nu-gel","code_information":[{"code":"50260","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50260","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":17,"maximum":73,"gross_charge":80,"discounted_cash":60,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":73},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Pioglitazone (Actos) Tab: 45 Mg","code_information":[{"code":"303880","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303880","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Versafix Cort Screw 38mm","code_information":[{"code":"52278","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52278","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Versafix Cort Screw 40mm","code_information":[{"code":"52279","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52279","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Versafix Cort Screw 36mm","code_information":[{"code":"52316","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52316","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Versafix Cort Screw 32mm","code_information":[{"code":"52329","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Iv Set Extension W/ Stopcock 20","code_information":[{"code":"47054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Spirometry W/ Graphic Record/vital Capac","code_information":[{"code":"CP17585600566710949","type":"CDM"},{"code":"521","type":"RC"},{"code":"94010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Spirometry W/ Graphic Record/vital Capac","code_information":[{"code":"CP17585603283958243","type":"CDM"},{"code":"510","type":"RC"},{"code":"94010","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Bilirubin Direct","code_information":[{"code":"35057","type":"CDM"},{"code":"300","type":"RC"},{"code":"82248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Bilirubin Total","code_information":[{"code":"35058","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Carboxyhemoglobin","code_information":[{"code":"60195","type":"CDM"},{"code":"300","type":"RC"},{"code":"82375","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Arc Elution","code_information":[{"code":"750726","type":"CDM"},{"code":"300","type":"RC"},{"code":"86860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Nllelution","code_information":[{"code":"750940","type":"CDM"},{"code":"300","type":"RC"},{"code":"86860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Ab Elution, Rbc Ab-each Panel","code_information":[{"code":"751097","type":"CDM"},{"code":"300","type":"RC"},{"code":"86860","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Bilirubin (Body Fluid)quest","code_information":[{"code":"751845","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Prefill Nebul 440/500ml","code_information":[{"code":"60010","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":".Orchard Grass","code_information":[{"code":"758393","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Cinnamon (Rf220) Igequest","code_information":[{"code":"758558","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":72,"gross_charge":79,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":72},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":35}]}]},{"description":"Iv Set Surgical","code_information":[{"code":"47043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Iv Set Microdrip Surgical","code_information":[{"code":"47044","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47044","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube E/t W/cuff  5.0","code_information":[{"code":"49304","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube E/t W/cuff  5.5","code_information":[{"code":"49312","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49312","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube Enteral Feeding Gravity Set (B4036)","code_information":[{"code":"49593","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49593","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Head Halter Universal","code_information":[{"code":"49930","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49930","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Ostomy Wafer W 1-1/2  Flange","code_information":[{"code":"50258","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50258","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube Penrose Drain 1/4  Silicone","code_information":[{"code":"52047","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52047","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube Penrose Drain 1/2  Silicone","code_information":[{"code":"52048","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Tube Penrose Drain 7/8  Silicone","code_information":[{"code":"52049","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52049","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Pca Syringe Pump","code_information":[{"code":"303372","type":"CDM"},{"code":"261","type":"RC"},{"code":"CP303372","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":71,"gross_charge":78,"discounted_cash":59,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":71},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Depo-medrol 40 Mg Inj","code_information":[{"code":"CP17585600566600297","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Depo-medrol 40 Mg Inj","code_information":[{"code":"CP17585603283917364","type":"CDM"},{"code":"510","type":"RC"},{"code":"J1030","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Co2 (Bicarbonate)","code_information":[{"code":"35063","type":"CDM"},{"code":"300","type":"RC"},{"code":"82374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Dress Softsorb 4x6                 A6252","code_information":[{"code":"50166","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6252","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Wrist Splint Bilateral","code_information":[{"code":"65923-50","type":"CDM"},{"code":"450","type":"RC"},{"code":"29260","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Cch Coc Dot  Urine  5 Drug Scr","code_information":[{"code":"75922","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75922","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Cch Coc Non Dot  Urine  5 Drug Scr","code_information":[{"code":"75923","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75923","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Co2","code_information":[{"code":"350031","type":"CDM"},{"code":"300","type":"RC"},{"code":"82374","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Urine Sodium 24h","code_information":[{"code":"350064","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Urine Sodium Random-crh","code_information":[{"code":"350076","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Sodium Urine","code_information":[{"code":"750230","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Sodium Other Source Not Blood/urine","code_information":[{"code":"751140","type":"CDM"},{"code":"300","type":"RC"},{"code":"84302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Chloride Other Scource,not Blood/urine","code_information":[{"code":"751142","type":"CDM"},{"code":"300","type":"RC"},{"code":"82438","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Other Source","code_information":[{"code":"751766","type":"CDM"},{"code":"300","type":"RC"},{"code":"84302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Sodium (Body Fluid)quest","code_information":[{"code":"757314","type":"CDM"},{"code":"300","type":"RC"},{"code":"84302","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Chloride (Body Fluid)quest","code_information":[{"code":"757315","type":"CDM"},{"code":"300","type":"RC"},{"code":"82438","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Assay Of Sodium; Urine","code_information":[{"code":"757940","type":"CDM"},{"code":"300","type":"RC"},{"code":"84300","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":".Transferase Aspartate Amino (Ast)","code_information":[{"code":"758578","type":"CDM"},{"code":"300","type":"RC"},{"code":"84450","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Iv Flush Bag Spike W/ndleless Valve Port","code_information":[{"code":"47105","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Clonidine Patch 0.1mg","code_information":[{"code":"300305","type":"CDM"},{"code":"637","type":"RC"},{"code":"52817061004","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"E-surg Grounding Pad Reg. Adult","code_information":[{"code":"49189","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49189","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Iv Set Chemotherapy Without Filter","code_information":[{"code":"47990","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47990","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Mdi Spacervent (In-line)","code_information":[{"code":"60100","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":77,"discounted_cash":58,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":34}]}]},{"description":"Nasal Cannula W/ End-tidal Co2 Line","code_information":[{"code":"49842","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Nasal Cannula Soft  W/ High Flow 7ft","code_information":[{"code":"52550","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52550","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Nebulizer Aeroeclipse Ii Breath","code_information":[{"code":"52551","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52551","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Homocysteine-screening     Quest","code_information":[{"code":"751221","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP751221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ostomy Wfr/pch W/2  Flange Flextend","code_information":[{"code":"52161","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Emergency Phone Report","code_information":[{"code":"17011","type":"CDM"},{"code":"310","type":"RC"},{"code":"CP17011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Sodium","code_information":[{"code":"35087","type":"CDM"},{"code":"300","type":"RC"},{"code":"84295","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cytopath Preparation,screening,int","code_information":[{"code":"750534","type":"CDM"},{"code":"311","type":"RC"},{"code":"88161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Cytopathology Preparation,screening And","code_information":[{"code":"750797","type":"CDM"},{"code":"311","type":"RC"},{"code":"88161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Culture, Typing; Immunoflorescent Metho","code_information":[{"code":"751665","type":"CDM"},{"code":"300","type":"RC"},{"code":"87140","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Peanut Total W/ Rflx To Component Panel","code_information":[{"code":"758727","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":70,"gross_charge":76,"discounted_cash":57,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":70},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Nutr Jevity 1000ml (W/ Fiber)    (B4150)","code_information":[{"code":"50024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Blood Transfusion","code_information":[{"code":"CP17585600566602944","type":"CDM"},{"code":"521","type":"RC"},{"code":"36430","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Gtt 1hr Gestational","code_information":[{"code":"350019","type":"CDM"},{"code":"300","type":"RC"},{"code":"82950","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Manual Rbc Count, Csf","code_information":[{"code":"351108","type":"CDM"},{"code":"300","type":"RC"},{"code":"89050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Manual Tnc Count","code_information":[{"code":"351109","type":"CDM"},{"code":"300","type":"RC"},{"code":"89050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Manual Rbc Count","code_information":[{"code":"351111","type":"CDM"},{"code":"300","type":"RC"},{"code":"89050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Manual Tnc Count, Synovial","code_information":[{"code":"351112","type":"CDM"},{"code":"300","type":"RC"},{"code":"89050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Manual Tnc Count, Serous","code_information":[{"code":"351117","type":"CDM"},{"code":"300","type":"RC"},{"code":"89050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Sulfate,urine","code_information":[{"code":"750231","type":"CDM"},{"code":"300","type":"RC"},{"code":"84392","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Stone Renal Formation Diag.profile P-14","code_information":[{"code":"750232","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Barbiturates Confirm (Qnt) Urinequest","code_information":[{"code":"752010","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Assay Of Sulfate, Urine","code_information":[{"code":"757941","type":"CDM"},{"code":"300","type":"RC"},{"code":"84392","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Assay Of Uric Acid; Other Source","code_information":[{"code":"757942","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Uric Acid 24hr Urine W/o Creatquest","code_information":[{"code":"758187","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Urea Nitrogen Urinequest","code_information":[{"code":"758352","type":"CDM"},{"code":"300","type":"RC"},{"code":"84540","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Anes Breathing Bag 3l Non-latex","code_information":[{"code":"50224","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Anes Breathing Bag 1l Non-latex","code_information":[{"code":"52141","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Anes Breathing Bag 2l Non-latex","code_information":[{"code":"52142","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":16,"maximum":69,"gross_charge":75,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":69},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Albumin (Peritoneal Fluid)quest","code_information":[{"code":"758640","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Albumin (Pleural Fluid)quest","code_information":[{"code":"758641","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Albumin (Synovial Fluid)quest","code_information":[{"code":"758642","type":"CDM"},{"code":"300","type":"RC"},{"code":"82042","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":". Assay Of Urine Creatinine","code_information":[{"code":"758676","type":"CDM"},{"code":"300","type":"RC"},{"code":"82570","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":".Immunologic Method Other Than Immunoflu","code_information":[{"code":"758723","type":"CDM"},{"code":"300","type":"RC"},{"code":"87147","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Nitroglycerin In D5w  50mg/250ml","code_information":[{"code":"47082","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47082","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Adapter  Y  22mm Od W/elbow 22mmid","code_information":[{"code":"60128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Fentanyl Patch 100mcg/hr","code_information":[{"code":"302823","type":"CDM"},{"code":"637","type":"RC"},{"code":"47781042847","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Tube E/t W/cuff 10.0","code_information":[{"code":"49349","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":68,"gross_charge":74,"discounted_cash":56,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":68},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":33}]}]},{"description":"Phosphorus","code_information":[{"code":"35081","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Cytology Processing","code_information":[{"code":"75020","type":"CDM"},{"code":"300","type":"RC"},{"code":"CP75020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Platelet Neutralization","code_information":[{"code":"750633","type":"CDM"},{"code":"300","type":"RC"},{"code":"85597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Platelet Neutralization","code_information":[{"code":"750635","type":"CDM"},{"code":"300","type":"RC"},{"code":"85597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Hexagonal Phase Confirm","code_information":[{"code":"751672","type":"CDM"},{"code":"300","type":"RC"},{"code":"85598","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Drvvt Confirm","code_information":[{"code":"751673","type":"CDM"},{"code":"300","type":"RC"},{"code":"85597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Phosphorus Inorganic (Phosphate)","code_information":[{"code":"751690","type":"CDM"},{"code":"300","type":"RC"},{"code":"84100","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Drvvt Confirm","code_information":[{"code":"751846","type":"CDM"},{"code":"300","type":"RC"},{"code":"85597","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Ex.fix. Protective Cap  4.5mm Pin","code_information":[{"code":"48111","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Ex.fix. Protective Cap  5.0mm Pin","code_information":[{"code":"48112","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Adapter Nebulizer Metered Dose Inhaler","code_information":[{"code":"52477","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52477","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Adapter Neb Tee W/one Way Valve","code_information":[{"code":"60184","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60184","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Opiates 1 Or More","code_information":[{"code":"758364","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":".Oxycodone","code_information":[{"code":"758365","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":67,"gross_charge":73,"discounted_cash":55,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":67},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Nail Debridement 1-5","code_information":[{"code":"CP17585600566687926","type":"CDM"},{"code":"521","type":"RC"},{"code":"11720","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":66,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Chloride","code_information":[{"code":"35061","type":"CDM"},{"code":"300","type":"RC"},{"code":"82435","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":66,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Potassium","code_information":[{"code":"35082","type":"CDM"},{"code":"300","type":"RC"},{"code":"84132","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":66,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Pneumococcal Vaccine","code_information":[{"code":"65436","type":"CDM"},{"code":"771","type":"RC"},{"code":"G0009","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":66,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Hepatitis B Vaccine","code_information":[{"code":"65437","type":"CDM"},{"code":"771","type":"RC"},{"code":"G0010","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":66,"gross_charge":72,"discounted_cash":54,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":66},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":32}]}]},{"description":"Cold Pack Instant","code_information":[{"code":"49960","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49960","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Iv Set Ext Microbore W/onelink Connecter","code_information":[{"code":"47058","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Rat Epithelia Igequest","code_information":[{"code":"758776","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Pineapple (F210) Igequest","code_information":[{"code":"758800","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Bandage Elastoplast 2            *Latex*","code_information":[{"code":"49176","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Office/op Visit, Est Pt, Not Requiring P","code_information":[{"code":"CP17585600566687267","type":"CDM"},{"code":"521","type":"RC"},{"code":"99211","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Osteopathic Manipulative Treatment (Omt)","code_information":[{"code":"CP17585600566707852","type":"CDM"},{"code":"521","type":"RC"},{"code":"98925","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Office/op Visit, Est Pt, Not Requiring P","code_information":[{"code":"CP17585603283947859","type":"CDM"},{"code":"510","type":"RC"},{"code":"99211","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Platelet Count","code_information":[{"code":"35016","type":"CDM"},{"code":"300","type":"RC"},{"code":"85049","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Uric Acid","code_information":[{"code":"35092","type":"CDM"},{"code":"300","type":"RC"},{"code":"84550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Legal Blood Alcohol Draw","code_information":[{"code":"65028","type":"CDM"},{"code":"450","type":"RC"},{"code":"CP65028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Observation (Additional Hour)ed","code_information":[{"code":"65221","type":"CDM"},{"code":"762","type":"RC"},{"code":"CP65221","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Observation (Additional Hour)ipcu","code_information":[{"code":"400301","type":"CDM"},{"code":"762","type":"RC"},{"code":"CP400301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Assay Of Opiates","code_information":[{"code":"758366","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Assay Of Opiates","code_information":[{"code":"758367","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Platelet Automated","code_information":[{"code":"758585","type":"CDM"},{"code":"300","type":"RC"},{"code":"85049","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Iv Set Ext Standard Bore Onelink Connctr","code_information":[{"code":"47998","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47998","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":15,"maximum":65,"gross_charge":71,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":65},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Er/rr-mask -Cannula","code_information":[{"code":"60079","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60079","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Mhatp  Confirm Syphillis  State","code_information":[{"code":"750036","type":"CDM"},{"code":"300","type":"RC"},{"code":"86593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Rpr, Confirmationstate Lab","code_information":[{"code":"750094","type":"CDM"},{"code":"300","type":"RC"},{"code":"86593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Arc Pretreatment With Enzymes Per Cell","code_information":[{"code":"750729","type":"CDM"},{"code":"300","type":"RC"},{"code":"86971","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":"Arc Preteatment Of Rbc With Chemicals","code_information":[{"code":"750802","type":"CDM"},{"code":"300","type":"RC"},{"code":"86970","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Syphilis Test Non-treponemal Quant","code_information":[{"code":"751792","type":"CDM"},{"code":"300","type":"RC"},{"code":"86593","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":64,"gross_charge":70,"discounted_cash":53,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":64},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":31}]}]},{"description":".Chemistry Chloride Urine","code_information":[{"code":"758789","type":"CDM"},{"code":"300","type":"RC"},{"code":"82436","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":63,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Cast Padding Syn 6  Delta Roll","code_information":[{"code":"49687","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":63,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Cath Urethral  8fr","code_information":[{"code":"49729","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49729","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":63,"gross_charge":69,"discounted_cash":52,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":63},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Uric Acid (Synovial Fluid)quest","code_information":[{"code":"758665","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Uric Acid (Pleural/peritoneal)quest","code_information":[{"code":"758666","type":"CDM"},{"code":"300","type":"RC"},{"code":"84560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Enzyme Detection (Eg Beta Lactamase)","code_information":[{"code":"758725","type":"CDM"},{"code":"300","type":"RC"},{"code":"87185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Cholesterol","code_information":[{"code":"35062","type":"CDM"},{"code":"300","type":"RC"},{"code":"82465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Immunization Administration Additional","code_information":[{"code":"65399","type":"CDM"},{"code":"771","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Urine Potassium 24h Ur","code_information":[{"code":"350065","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Urine Potassium Randomcrh","code_information":[{"code":"350077","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Stone Renal Formation Diag.profile P-11","code_information":[{"code":"750229","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Potassium (Body Fluid)quest","code_information":[{"code":"757313","type":"CDM"},{"code":"300","type":"RC"},{"code":"84999","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Assay Of Potassium; Urine","code_information":[{"code":"757939","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":".Urine","code_information":[{"code":"758346","type":"CDM"},{"code":"300","type":"RC"},{"code":"84133","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Ice Pack Constant","code_information":[{"code":"49207","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49207","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube E/t W/cuff  3.0","code_information":[{"code":"49287","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49287","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube E/t W/cuff  4.0","code_information":[{"code":"49297","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube E/t W/cuff  4.5","code_information":[{"code":"49299","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49299","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube E/t W/cuff  9.0","code_information":[{"code":"49336","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49336","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tray Urethral Cath 14 Fr","code_information":[{"code":"49366","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49366","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube Salem Sump 10 Fr            (B4083)","code_information":[{"code":"49586","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49586","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Tube Salem Sump 12 Fr            (B4083)","code_information":[{"code":"49587","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49587","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Dress Wet Pack Povidone/iodine     A6223","code_information":[{"code":"49629","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6223","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Dress Polyur.foam 3 X3  W/bordr Mepilex","code_information":[{"code":"50309","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50309","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Disk Protective Biopatch","code_information":[{"code":"52268","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52268","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Mask Simple O2 Infant","code_information":[{"code":"60124","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60124","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":62,"gross_charge":68,"discounted_cash":51,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":62},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":30}]}]},{"description":"Ice Bag With Tie Attachments Small","code_information":[{"code":"53020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Gluten (F79) Igequest","code_information":[{"code":"758851","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Valve Lopezadult","code_information":[{"code":"50397","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50397","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Plaster Splints 4 X15  Pk/10","code_information":[{"code":"49700","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49700","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Gram Stain","code_information":[{"code":"35134","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Stool Wbc","code_information":[{"code":"35242","type":"CDM"},{"code":"300","type":"RC"},{"code":"89055","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Wet Mount","code_information":[{"code":"35253","type":"CDM"},{"code":"300","type":"RC"},{"code":"87210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Vdrl, Csfquest","code_information":[{"code":"75199","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Gram Stain Sputum","code_information":[{"code":"350039","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Gram Stain Urine","code_information":[{"code":"350103","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Parasite Identification Wormquest","code_information":[{"code":"750114","type":"CDM"},{"code":"300","type":"RC"},{"code":"87169","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Rpr W/ Rflx To Titer & Treponema Abqu","code_information":[{"code":"750663","type":"CDM"},{"code":"302","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Rpr W/ Reflex To Titer, Quest","code_information":[{"code":"751400","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Smear W/ Interp","code_information":[{"code":"751510","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Pinworm Examinationquest","code_information":[{"code":"751947","type":"CDM"},{"code":"300","type":"RC"},{"code":"87172","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Vdrl Serumquest","code_information":[{"code":"752512","type":"CDM"},{"code":"300","type":"RC"},{"code":"86592","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757046","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757049","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757053","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757062","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757065","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Gram Stain","code_information":[{"code":"757068","type":"CDM"},{"code":"300","type":"RC"},{"code":"87205","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":".Mycobacteria Proportion Method","code_information":[{"code":"758812","type":"CDM"},{"code":"300","type":"RC"},{"code":"87190","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":61,"gross_charge":67,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":61},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Ex.fix. Rod  4.0mm X 200mm","code_information":[{"code":"48139","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48139","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Dress Wet Pack Saline              A6229","code_information":[{"code":"49171","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6229","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Ostomy Skin Barrier 4 X 4","code_information":[{"code":"49461","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49461","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Smoking Cessation Education","code_information":[{"code":"60198","type":"CDM"},{"code":"942","type":"RC"},{"code":"99407","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Famciclovir(famvir) Tab:500 Mg-","code_information":[{"code":"303056","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Budesonide Ec 3mg Capsule","code_information":[{"code":"304276","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304276","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Clearcut Sideport 1.2 Angled Paracentesi","code_information":[{"code":"52457","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52457","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":14,"maximum":60,"gross_charge":66,"discounted_cash":50,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":60},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":29}]}]},{"description":"Irrigation Of Implanted Venous Access","code_information":[{"code":"CP17585600566673713","type":"CDM"},{"code":"521","type":"RC"},{"code":"96523","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Koh Prep","code_information":[{"code":"35252","type":"CDM"},{"code":"300","type":"RC"},{"code":"87220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Sars-cov-2 Total Ab Spike Semi-qntque","code_information":[{"code":"758323","type":"CDM"},{"code":"300","type":"RC"},{"code":"86769","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Koh Exam For Fungi","code_information":[{"code":"758549","type":"CDM"},{"code":"300","type":"RC"},{"code":"87220","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Iv Set Filter 0.22 Micron","code_information":[{"code":"47038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Iv Set W/ Filter 15 Micron","code_information":[{"code":"47989","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47989","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Dext. 20%  500ml/1000ml","code_information":[{"code":"47090","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Bilirubin Total","code_information":[{"code":"758866","type":"CDM"},{"code":"300","type":"RC"},{"code":"82247","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":".Bilirubin Direct","code_information":[{"code":"758867","type":"CDM"},{"code":"300","type":"RC"},{"code":"82248","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Evacuated Container 1000ml","code_information":[{"code":"47030","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Iv Set Syringe Pump 36  Mini-volume","code_information":[{"code":"47994","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47994","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Ostomy Karaya Drainable Pouch W 2 1/2","code_information":[{"code":"49240","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Ostomy Karaya Drainable Pouch W 3","code_information":[{"code":"49243","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49243","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":59,"gross_charge":64,"discounted_cash":48,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":59},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Smoking Cessation","code_information":[{"code":"CP17585600566715712","type":"CDM"},{"code":"521","type":"RC"},{"code":"99407","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Questreticulocyte Count","code_information":[{"code":"758315","type":"CDM"},{"code":"300","type":"RC"},{"code":"85045","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Mitochondria M2 Antibody Iggquest","code_information":[{"code":"758797","type":"CDM"},{"code":"300","type":"RC"},{"code":"86381","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Lidocaine 4% & Dext. 5% 500 Ml","code_information":[{"code":"47068","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47068","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Trays Suture Removal","code_information":[{"code":"48023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Splint Nasal","code_information":[{"code":"49272","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49272","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":58,"gross_charge":63,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":58},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":28}]}]},{"description":"Ex.fix. Rod  4.0mm X 140mm","code_information":[{"code":"48136","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Ex.fix. Rod  4.0mm X 160mm","code_information":[{"code":"48137","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48137","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Ex.fix. Rod  4.0mm X 180mm","code_information":[{"code":"48138","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48138","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Sharps Disposal Pad Magnetic","code_information":[{"code":"49209","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49209","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Suction Frazier 8fr","code_information":[{"code":"49647","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49647","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Plaster Cast Roll 6","code_information":[{"code":"49672","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49672","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Irrig Set Single Line (Cysto Set)","code_information":[{"code":"49765","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49765","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Suction Frazier 12 Fr","code_information":[{"code":"52836","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52836","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Phone E/m Phys/qhp 11-20 Min","code_information":[{"code":"CP17585600566712214","type":"CDM"},{"code":"521","type":"RC"},{"code":"99442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Wound Care","code_information":[{"code":"CP17585600566728572","type":"CDM"},{"code":"521","type":"RC"},{"code":"97602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Phone E/m Phys/qhp 11-20 Min","code_information":[{"code":"CP17585603283949315","type":"CDM"},{"code":"510","type":"RC"},{"code":"99442","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Wound Care","code_information":[{"code":"CP17585603283953919","type":"CDM"},{"code":"510","type":"RC"},{"code":"97602","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"35017","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Sed Rate Manual","code_information":[{"code":"35022","type":"CDM"},{"code":"300","type":"RC"},{"code":"85651","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Bun","code_information":[{"code":"35059","type":"CDM"},{"code":"300","type":"RC"},{"code":"84520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Glucose","code_information":[{"code":"35069","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Glucose 2hr Pc","code_information":[{"code":"35075","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Glucosecsf","code_information":[{"code":"35531","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Bun Dialysate","code_information":[{"code":"350081","type":"CDM"},{"code":"300","type":"RC"},{"code":"84520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Glucose Dialysate","code_information":[{"code":"350082","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Fasting Glucose Gtt Nongestational","code_information":[{"code":"351164","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".2hr Glucose Gtt Nongestational","code_information":[{"code":"351165","type":"CDM"},{"code":"300","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Protein; Total, Except Refractometry","code_information":[{"code":"750695","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"751997","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Urea Nitrogen (Body Fluid)quest","code_information":[{"code":"758027","type":"CDM"},{"code":"300","type":"RC"},{"code":"84520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Glucose (Urine) 24h/randomquest","code_information":[{"code":"758278","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Adenosine Vial 6mg/2ml","code_information":[{"code":"300013","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457085500","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Ampicillin Vial 1gm","code_information":[{"code":"300076","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150011310","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ampicillin/sulbactam Vial 1.5gm","code_information":[{"code":"310414","type":"CDM"},{"code":"250","type":"RC"},{"code":"44567021010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Azithromycin Vial 500mg","code_information":[{"code":"303250","type":"CDM"},{"code":"250","type":"RC"},{"code":"70436001982","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Bumetanide Vial 1mg/4ml","code_information":[{"code":"304483","type":"CDM"},{"code":"637","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Bumetanide Vial 2.5mg/10ml","code_information":[{"code":"306402","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462047054","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Bupivacaine 0.25% Vial 10ml","code_information":[{"code":"304728","type":"CDM"},{"code":"250","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Bupivacaine 0.75% Vial 75mg/10ml","code_information":[{"code":"311093","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150017110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Cefepime Vial 1gm","code_information":[{"code":"304261","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567013010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ceftriaxone Vial 2gm","code_information":[{"code":"302895","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505614900","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dexmedetomidine Vial 200mcg/2ml","code_information":[{"code":"312575","type":"CDM"},{"code":"250","type":"RC"},{"code":"71288050503","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Diphenhydramine Vial 50mg/ml","code_information":[{"code":"300199","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323066400","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Esmolol Vial 100mg/10ml","code_information":[{"code":"302829","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150019410","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Fentanyl Vial  100mcg/2ml","code_information":[{"code":"307798","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Flumazenil Vial 0.5mg/5ml","code_information":[{"code":"301018","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323042405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Furosemide  Vial 100mg/10ml","code_information":[{"code":"300913","type":"CDM"},{"code":"250","type":"RC"},{"code":"71288020311","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Gentamicin Vial   Pediatric 20mg/2ml","code_information":[{"code":"303485","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323017302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Glycopyrrolate Vial 0.2mg/ml","code_information":[{"code":"301549","type":"CDM"},{"code":"250","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Heparin Sod. Inj. 5000 Units/ml","code_information":[{"code":"303012","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323026203","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":5000,"type":"UN"}},{"description":"Hydromorphone Carp 1mg/ml","code_information":[{"code":"304310","type":"CDM"},{"code":"636","type":"RC"},{"code":"40912","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Labetalol Vial 100mg/20ml","code_information":[{"code":"303828","type":"CDM"},{"code":"250","type":"RC"},{"code":"25021031720","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Levetiracetam Vial 500mg/5ml","code_information":[{"code":"305778","type":"CDM"},{"code":"636","type":"RC"},{"code":"40918","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Lidocaine 1% Vial 100mg/10ml","code_information":[{"code":"312009","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150025110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lidocaine 1% Vial 200mg/20ml","code_information":[{"code":"301935","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150025220","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Lidocaine 2% Vial  Mpf  40mg/2ml","code_information":[{"code":"306508","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323049527","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Lidocaine 2% Vial 400mg/20ml","code_information":[{"code":"301941","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756064887","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Lidocaine W/epi 1/0.001% Vial 200mg/20ml","code_information":[{"code":"301932","type":"CDM"},{"code":"250","type":"RC"},{"code":"40900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Lidocaine W/epi 2/0.001% Vial 400mg/20ml","code_information":[{"code":"301939","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323048303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Magnesium Sulf. 50% Vial  1gm/2ml","code_information":[{"code":"300989","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323006401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Morphine Inj Vial   2mg/ml","code_information":[{"code":"310693","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323045201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Morphine Inj Vial   4mg/ml","code_information":[{"code":"308187","type":"CDM"},{"code":"250","type":"RC"},{"code":"64161","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Morphine Inj Vial  10mg/ml","code_information":[{"code":"308300","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323045101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Nacl 0.9% Pf Vial 20ml","code_information":[{"code":"308284","type":"CDM"},{"code":"272","type":"RC"},{"code":"63323018620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Oxytocin Inj 10units/ml","code_information":[{"code":"301298","type":"CDM"},{"code":"250","type":"RC"},{"code":"42023011625","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":10,"type":"UN"}},{"description":"Pantoprazole Vial 40mg","code_information":[{"code":"303834","type":"CDM"},{"code":"250","type":"RC"},{"code":"71288060010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Phenylephrine Vial 10mg/ml","code_information":[{"code":"304441","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756062182","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Phenytoin Vial 100mg/2ml","code_information":[{"code":"300536","type":"CDM"},{"code":"250","type":"RC"},{"code":"42192061402","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Phenytoin Vial 250mg/5ml","code_information":[{"code":"300542","type":"CDM"},{"code":"250","type":"RC"},{"code":"42192061430","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Pipercillin/tazo Vial 2.25gm","code_information":[{"code":"303419","type":"CDM"},{"code":"636","type":"RC"},{"code":"55150011930","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Potassium Chloride Vial 40meq/20ml","code_information":[{"code":"300868","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323096520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Promethazine Vial 25mg/ml","code_information":[{"code":"301364","type":"CDM"},{"code":"636","type":"RC"},{"code":"64109","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Propofol  Vial 200mg/20ml","code_information":[{"code":"300563","type":"CDM"},{"code":"250","type":"RC"},{"code":"80830118801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Rocuronium Vial 50mg/5ml","code_information":[{"code":"303221","type":"CDM"},{"code":"250","type":"RC"},{"code":"71288070005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Sterile Water Pf Vial  20ml","code_information":[{"code":"304112","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323018520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Sterile Water Pf Vial  50ml","code_information":[{"code":"309438","type":"CDM"},{"code":"250","type":"RC"},{"code":"40948","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":50,"type":"ML"}},{"description":"Terbutaline Vial 1mg/ml","code_information":[{"code":"300232","type":"CDM"},{"code":"250","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Valproate Vial 500mg/5ml","code_information":[{"code":"304163","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323049401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Vancomycin Vial  500mg","code_information":[{"code":"301848","type":"CDM"},{"code":"636","type":"RC"},{"code":"67457033900","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Vancomycin Vial 1gm","code_information":[{"code":"302945","type":"CDM"},{"code":"636","type":"RC"},{"code":"14391","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vitamin B-12 Vial 1000mcg/ml","code_information":[{"code":"300426","type":"CDM"},{"code":"636","type":"RC"},{"code":"63323004401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Morphine Inj Carp  2mg/ml","code_information":[{"code":"301099","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fentanyl Injection: 250 Mcg/5ml","code_information":[{"code":"304099","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3010","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dexamethasone Pf Vial 100mg/10ml","code_information":[{"code":"304253","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1100","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Inj Syringe 2mg/ml","code_information":[{"code":"307730","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP307730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ampicillin Vial 2gm","code_information":[{"code":"310411","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP310411","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine 0.5% 50mg/10ml **Pharm","code_information":[{"code":"312088","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bupiv 0.5% W/epi + Ketorolac 30mg60ml","code_information":[{"code":"312110","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bupiv 0.5% W/epi + Ketorolac 30mg40ml","code_information":[{"code":"312111","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bupiv 0.5% W/epi + Ketorolac 30mg80ml","code_information":[{"code":"312112","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP312112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Magnesium Sulf. 50% Vial 5gm/10ml","code_information":[{"code":"312573","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3475","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":57,"gross_charge":62,"discounted_cash":47,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":57},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Clindamycin(cleocin) Inj: 600 Mg Vial","code_information":[{"code":"300362","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Heparin Sodium Inj:10,000 Unit/ml 4ml","code_information":[{"code":"300756","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300756","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Sulf Inj: 15 Mg/ml 20 Ml Vial-","code_information":[{"code":"301090","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301090","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Promethazine(phenergan) Inj:50 Mg/ml*","code_information":[{"code":"301368","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2550","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trimethobenzamide(tigan) Inj: 200mg/2ml-","code_information":[{"code":"301747","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301747","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nasal Cann Infant","code_information":[{"code":"60123","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Plaster Splints 3 X15  Pk/10","code_information":[{"code":"49699","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49699","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Anes Mask Adult Large","code_information":[{"code":"49825","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Ecg Monitor/24 Hrs, W/ Visual Superimposecg Monitor/24 Hrs, W/ Visual Superimpos","code_information":[{"code":"CP17585600566610435","type":"CDM"},{"code":"521","type":"RC"},{"code":"93227","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Tdap (19-64) Hospital Supply","code_information":[{"code":"CP17585600566726474","type":"CDM"},{"code":"636","type":"RC"},{"code":"90715","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Antibody Screen","code_information":[{"code":"35284","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Theophylline In D5w 400mg/1000","code_information":[{"code":"47081","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47081","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Ph; Body Fluid, Not Otherwise Specified","code_information":[{"code":"351138","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Blood Smear Micro Exam W/o Man Diff","code_information":[{"code":"351180","type":"CDM"},{"code":"300","type":"RC"},{"code":"85008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Arc Antibody Screen","code_information":[{"code":"750727","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Arc Rbc Ag Other Than Abo Or D, Each","code_information":[{"code":"750801","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Nllantibody Screen, Each Technique","code_information":[{"code":"750931","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Nllag Typing, Pt, Each Ag","code_information":[{"code":"750934","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Nllag Typing, Each Unit Sent, 1 Ag","code_information":[{"code":"750935","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Nllag Typing,patient Or Unt, Each Ag","code_information":[{"code":"750942","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Nllab Id/each Selected Reagent Cell","code_information":[{"code":"750943","type":"CDM"},{"code":"300","type":"RC"},{"code":"86905","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Ab-screen, Rbc Each Technique","code_information":[{"code":"751093","type":"CDM"},{"code":"300","type":"RC"},{"code":"86850","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Ph Fecesquest","code_information":[{"code":"752109","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Assay Of Ph, Body Fluid, Except Blood","code_information":[{"code":"757937","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":".Ph; Body Fluid, Not Otherwise Specified","code_information":[{"code":"758050","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Heroin Metabolite Scrn (Urine)quest","code_information":[{"code":"758195","type":"CDM"},{"code":"300","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":13,"maximum":56,"gross_charge":61,"discounted_cash":46,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":56},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":27}]}]},{"description":"Fentanyl Patch  12mcg/hr","code_information":[{"code":"306219","type":"CDM"},{"code":"637","type":"RC"},{"code":"37891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":".Actin (Smmoth Muscle) Antibody Each","code_information":[{"code":"758775","type":"CDM"},{"code":"300","type":"RC"},{"code":"86015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Suction Yankauer","code_information":[{"code":"49322","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49322","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Tube E/t W/cuff  6.0","code_information":[{"code":"49326","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Anes Hme Filter","code_information":[{"code":"49657","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49657","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Cath Female Urine Spec Kit","code_information":[{"code":"49668","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49668","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Urostomy Drain Tube Adapter","code_information":[{"code":"49716","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49716","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Bacteria Viral  Filter","code_information":[{"code":"52475","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52475","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Mask Non-rebreath Pedi W/tubing","code_information":[{"code":"60155","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60155","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":55,"gross_charge":60,"discounted_cash":45,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":55},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Anes Mask Adult Medium","code_information":[{"code":"49570","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49570","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Urea Nitrogen Quantitative","code_information":[{"code":"758579","type":"CDM"},{"code":"300","type":"RC"},{"code":"84520","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Blood test, clotting time","code_information":[{"code":"758581","type":"CDM"},{"code":"301","type":"RC"},{"code":"85610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Morphine Inj Syringe 4mg/ml","code_information":[{"code":"311984","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP311984","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Opt Eye Shields","code_information":[{"code":"49415","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49415","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Dext. 50% 500ml/1000ml","code_information":[{"code":"47035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":54,"gross_charge":59,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":54},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Sitz Bath","code_information":[{"code":"49258","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49258","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Cath Infant Urine Spec Kit","code_information":[{"code":"50379","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50379","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Total Protein","code_information":[{"code":"35089","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Total Proteincsf","code_information":[{"code":"35090","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Pt E-stimulation-15 Min","code_information":[{"code":"55310-GP","type":"CDM"},{"code":"420","type":"RC"},{"code":"97032","type":"CPT","modifier":"GP"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GP"],"minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Urine","code_information":[{"code":"75420","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein, Total Urine","code_information":[{"code":"75548","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Urine Protein 24h Ur","code_information":[{"code":"350067","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Urine Protein Random-crh","code_information":[{"code":"350079","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Igg Subclasses Part 1","code_information":[{"code":"750234","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Igg Subclasses Part 2","code_information":[{"code":"750235","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Igg Subclasses Part 3","code_information":[{"code":"750236","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Igg Subclasses Part 4","code_information":[{"code":"750237","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protien, Total Urine","code_information":[{"code":"750969","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein Total Urine","code_information":[{"code":"751346","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Immunoglobulin Subclasses,each","code_information":[{"code":"751353","type":"CDM"},{"code":"300","type":"RC"},{"code":"82787","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein,total Serum","code_information":[{"code":"751362","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein Total Urine","code_information":[{"code":"751367","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein Urine","code_information":[{"code":"751419","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Urine Protein Total","code_information":[{"code":"751551","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Assay Of Protein; Total, Except Refract","code_information":[{"code":"752031","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Urine","code_information":[{"code":"752035","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein, Total, Except By Refractometry","code_information":[{"code":"752055","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Protein, Total, Except Refractory; Seru","code_information":[{"code":"757129","type":"CDM"},{"code":"300","type":"RC"},{"code":"84155","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Urine","code_information":[{"code":"758265","type":"CDM"},{"code":"300","type":"RC"},{"code":"84156","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Amphetamines; 1 Or 2","code_information":[{"code":"758282","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":".Methlenedioxyamphetamines","code_information":[{"code":"758283","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Dry Needling 1-2 Muscles","code_information":[{"code":"55200","type":"CDM"},{"code":"420","type":"RC"},{"code":"20560","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Suction Sigmoid","code_information":[{"code":"49448","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49448","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Seizure Stick","code_information":[{"code":"49648","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49648","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":53,"gross_charge":58,"discounted_cash":44,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":53},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":26}]}]},{"description":"Suction Can  3000cc","code_information":[{"code":"49056","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49056","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":".Alcohols","code_information":[{"code":"758555","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Ostomy Wafer W 2-1/4  Flange Flextend","code_information":[{"code":"52085","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52085","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Dress Hydrocolloid X-thin 4x4 Duo. A6234","code_information":[{"code":"50157","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50157","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Stool Occult Bloodscreen (3 Samples)","code_information":[{"code":"35109","type":"CDM"},{"code":"300","type":"RC"},{"code":"82270","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Ph Of Blood/fluid","code_information":[{"code":"60081","type":"CDM"},{"code":"300","type":"RC"},{"code":"82800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Stool Occult Blood Diagnostic","code_information":[{"code":"350096","type":"CDM"},{"code":"300","type":"RC"},{"code":"82272","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Gastric Occult Blood","code_information":[{"code":"351214","type":"CDM"},{"code":"300","type":"RC"},{"code":"82271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Prefill Humid 500ml","code_information":[{"code":"60028","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60028","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Glucose (Peritoneal Fluid)quest","code_information":[{"code":"758659","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Glucose (Pleural Fluid)quest","code_information":[{"code":"758660","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Glucose (Synovial Fluid)quest","code_information":[{"code":"758661","type":"CDM"},{"code":"300","type":"RC"},{"code":"82945","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":52,"gross_charge":57,"discounted_cash":43,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":52},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Oxycodone Extended Release Tab:40 Mg","code_information":[{"code":"303229","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303229","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":51,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tube E/t W/cuff  6.5","code_information":[{"code":"49328","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":51,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Tube E/t W/cuff  8.5","code_information":[{"code":"49335","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49335","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":51,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Dress Foam 4x4 Aquacel","code_information":[{"code":"52925","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6242","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":51,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}]},{"description":"Zz Estradiol Patch 0.05mg/day","code_information":[{"code":"304351","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304351","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":12,"maximum":51,"gross_charge":56,"discounted_cash":42,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":51},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":25}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tube E/t W/cuff  7.0","code_information":[{"code":"49329","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49329","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tube E/t W/cuff  7.5","code_information":[{"code":"49331","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49331","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tube E/t W/cuff  8.0","code_information":[{"code":"49333","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Nutr Pediasure 8oz.","code_information":[{"code":"49393","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49393","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Admin Medicare Pneumonia Vaccine","code_information":[{"code":"CP17585600566593231","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0009","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Im/subq Injection","code_information":[{"code":"CP17585600566674175","type":"CDM"},{"code":"636","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Im/subq Injection","code_information":[{"code":"CP17585603283941149","type":"CDM"},{"code":"510","type":"RC"},{"code":"96372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Urinalysis test using microscope","code_information":[{"code":"350092","type":"CDM"},{"code":"301","type":"RC"},{"code":"81000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Calculus Qnt Analysis Chemicaldcpa","code_information":[{"code":"752486","type":"CDM"},{"code":"300","type":"RC"},{"code":"82360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Cast Padding Webril Sterile 2 X4yd","code_information":[{"code":"52879","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52879","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Erythromycin Opth. Oint. 1gm Tube","code_information":[{"code":"302231","type":"CDM"},{"code":"637","type":"RC"},{"code":"72485067031","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":11,"maximum":50,"gross_charge":55,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":50},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Microscopic Urine","code_information":[{"code":"35108","type":"CDM"},{"code":"300","type":"RC"},{"code":"81015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":49,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":".Microscopic","code_information":[{"code":"35510","type":"CDM"},{"code":"300","type":"RC"},{"code":"81015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":49,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Urinalysis Microscopic Only","code_information":[{"code":"350091","type":"CDM"},{"code":"307","type":"RC"},{"code":"81015","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":49,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tube E/t W/cuff  9.5","code_information":[{"code":"49337","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":49,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Tray Irrigation","code_information":[{"code":"49371","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49371","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":49,"gross_charge":54,"discounted_cash":41,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":49},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":24}]}]},{"description":"Total Protein (Peritoneal Fluid)quest","code_information":[{"code":"758630","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Total Protein (Pleural Fluid)quest","code_information":[{"code":"758631","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Protein (Total) (Synovial Fluid)quest","code_information":[{"code":"758632","type":"CDM"},{"code":"300","type":"RC"},{"code":"84157","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Cath Foley 30cc 16fr             *Latex*","code_information":[{"code":"49043","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Ostomy Pouch Drainable W 1  Flange","code_information":[{"code":"49203","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Ostomy Pouch Drainable W 1-1/2  Flange","code_information":[{"code":"49204","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49204","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Ostomy Pouch Drainable W 2  Flange","code_information":[{"code":"49205","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Ostomy Pouch Drainable W 2-1/2  Flange","code_information":[{"code":"49206","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Cath Urethral 12fr Red Rubber **Latex**","code_information":[{"code":"49730","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49730","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Cath Urethral 14fr Red Rubber **Latex**","code_information":[{"code":"50186","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50186","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Abo","code_information":[{"code":"35159","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rh Type","code_information":[{"code":"35164","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Abo Type","code_information":[{"code":"35513","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Rh","code_information":[{"code":"35546","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Volume Measurement","code_information":[{"code":"350015","type":"CDM"},{"code":"300","type":"RC"},{"code":"81050","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Arc Abo Type","code_information":[{"code":"750723","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Arc Rh Type","code_information":[{"code":"750724","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Nllblood Typing, Abo","code_information":[{"code":"750929","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Nllrh Type","code_information":[{"code":"750930","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Blood Typing-abo","code_information":[{"code":"751094","type":"CDM"},{"code":"300","type":"RC"},{"code":"86900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Rh","code_information":[{"code":"751095","type":"CDM"},{"code":"300","type":"RC"},{"code":"86901","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Blood Count; Red Blood Cell (Rbc) Only","code_information":[{"code":"758005","type":"CDM"},{"code":"300","type":"RC"},{"code":"85041","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"99153 Fac: Mod Sed Addl 15 Min","code_information":[{"code":"13380021","type":"CDM"},{"code":"370","type":"RC"},{"code":"99153","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":53,"discounted_cash":40,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Mask Non-rebreath Adult W/tubing","code_information":[{"code":"60096","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Nasal Cann Pediatric","code_information":[{"code":"60154","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60154","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Geodon:20mg Do Not Stock","code_information":[{"code":"304171","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304171","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine Viscous Oral Liquid 2% 100ml","code_information":[{"code":"312030-49","type":"CDM"},{"code":"637","type":"RC"},{"code":"54350","type":"CPT","modifier":"49"}],"standard_charges":[{"setting":"outpatient","modifier_code":["49"],"minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":100,"type":"ML"}},{"description":"Lidocaine Viscous Oral Liquid 2% 100ml","code_information":[{"code":"312030","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Maxibraid Pe Blue/white 3-0 Tapered","code_information":[{"code":"53176","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53176","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Maxibraid Pe Blue 4-0 Tapered","code_information":[{"code":"53177","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Decalcification Procedure","code_information":[{"code":"22013","type":"CDM"},{"code":"310","type":"RC"},{"code":"88311","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Manual Differential","code_information":[{"code":"35036","type":"CDM"},{"code":"300","type":"RC"},{"code":"85007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Albumin","code_information":[{"code":"35054","type":"CDM"},{"code":"300","type":"RC"},{"code":"82040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Manual Diff","code_information":[{"code":"35293","type":"CDM"},{"code":"300","type":"RC"},{"code":"85007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Z Breast Tomo (3d Mammography) Screening","code_information":[{"code":"39071","type":"CDM"},{"code":"403","type":"RC"},{"code":"77063","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Z Breast Tomo (3d Mammo) Diag Unilateral","code_information":[{"code":"39073","type":"CDM"},{"code":"401","type":"RC"},{"code":"77061","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Z Breast Tomo (3d Mammo) Diag Bilateral","code_information":[{"code":"39100","type":"CDM"},{"code":"401","type":"RC"},{"code":"77062","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Anoscope Disposable Speculum","code_information":[{"code":"49755","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49755","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Bandage Coban Lf Wrap 3","code_information":[{"code":"50298","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50298","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Hemorrhodial Ligator 5","code_information":[{"code":"52443","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52443","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Wrist Splint","code_information":[{"code":"65455","type":"CDM"},{"code":"450","type":"RC"},{"code":"29260","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Blood Smear Micro Exam W/ Man Diff","code_information":[{"code":"351181","type":"CDM"},{"code":"300","type":"RC"},{"code":"85007","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":".Assay Of Albumin","code_information":[{"code":"758253","type":"CDM"},{"code":"300","type":"RC"},{"code":"82040","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":48,"gross_charge":52,"discounted_cash":39,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":48},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":23}]}]},{"description":"Splint Baseball Finger Large","code_information":[{"code":"49302","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":47,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Mask Venturi Adult","code_information":[{"code":"60027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":11,"maximum":47,"gross_charge":51,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":47},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Betadine 5% Opth. Soln. 30ml","code_information":[{"code":"309326-13","type":"CDM"},{"code":"637","type":"RC"},{"code":"65041","type":"CPT","modifier":"13"}],"standard_charges":[{"setting":"outpatient","modifier_code":["13"],"minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Betadine 5% Opth. Soln. 30ml","code_information":[{"code":"309326","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP309326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pioglitazone(actos) Tab: 30 Mg","code_information":[{"code":"303914","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"43753 Gastric Intub/aspir Therapeutic","code_information":[{"code":"CP17585603283893881","type":"CDM"},{"code":"510","type":"RC"},{"code":"43753","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Tolerance Test, Each Additional","code_information":[{"code":"79049","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Gtt, Each Additional Glucose","code_information":[{"code":"350021","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Gtt 3 Hr Part 2","code_information":[{"code":"350022","type":"CDM"},{"code":"300","type":"RC"},{"code":"82951","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Gtt, Each Additional Glucose","code_information":[{"code":"351145","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Fasting Glucose Gtt Gestational","code_information":[{"code":"351160","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Fasting Glucose Gtt Hypoglycemia","code_information":[{"code":"351166","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".3hr Glucose Gtt Hypoglycemia","code_information":[{"code":"351170","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".4hr Glucose Gtt Hypoglycemia","code_information":[{"code":"351171","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".5hr Glucose Gtt Hypoglycemia","code_information":[{"code":"351172","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Tolerance Test,each Add Beyond 3 Quest","code_information":[{"code":"751225","type":"CDM"},{"code":"300","type":"RC"},{"code":"82952","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Urostomy Pouch 1-3/4","code_information":[{"code":"52052","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52052","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Nasal Cann Adult 21' Extension","code_information":[{"code":"60136","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60136","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":46,"gross_charge":50,"discounted_cash":38,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":46},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Apixaban Tab 5mg","code_information":[{"code":"307639-31","type":"CDM"},{"code":"637","type":"RC"},{"code":"30894","type":"CPT","modifier":"31"}],"standard_charges":[{"setting":"outpatient","modifier_code":["31"],"minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Apixaban Tab 5mg","code_information":[{"code":"307639","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP307639","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hepatitis B Vaccine, Pediatric/adolescen","code_information":[{"code":"CP17585600566636553","type":"CDM"},{"code":"521","type":"RC"},{"code":"90744","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"99281 Out Patient/er Consultation Level 1","code_information":[{"code":"CP17585603283902884","type":"CDM"},{"code":"510","type":"RC"},{"code":"99281","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Empty Container Viaflex Plastic 250ml","code_information":[{"code":"47065","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47065","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Empty Container Viaflex Plastic 50ml","code_information":[{"code":"47113","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47113","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Empty Container Viaflex Plastic 500ml","code_information":[{"code":"47118","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47118","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath Texas Condom 29mm","code_information":[{"code":"49130","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath Texas Condom 36mm","code_information":[{"code":"49131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Tube Rectal 24fr","code_information":[{"code":"49342","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49342","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Splint Aluma-foam Finger 1 X18","code_information":[{"code":"49706","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Cath Texas Condom 25mm","code_information":[{"code":"50215","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50215","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Industrial Lab Fee Handlingurine","code_information":[{"code":"75330","type":"CDM"},{"code":"300","type":"RC"},{"code":"99001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Industrial Lab Fee Handlingblood","code_information":[{"code":"75926","type":"CDM"},{"code":"300","type":"RC"},{"code":"99001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Industrial Lab Fee Handlingdrop Off","code_information":[{"code":"75929","type":"CDM"},{"code":"300","type":"RC"},{"code":"99000","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Flow Cytometry,each Addtional Marke","code_information":[{"code":"751107","type":"CDM"},{"code":"311","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Test For Lab One Insurance","code_information":[{"code":"751210","type":"CDM"},{"code":"300","type":"RC"},{"code":"99001","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Flow Screen Markers, Class Ii","code_information":[{"code":"751819","type":"CDM"},{"code":"311","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":".Flow Screen Markers Hla-a, B, Cw","code_information":[{"code":"751822","type":"CDM"},{"code":"311","type":"RC"},{"code":"88185","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Ice Pack Small 5x12 Cloth Ties","code_information":[{"code":"50338","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50338","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":45,"gross_charge":49,"discounted_cash":37,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":45},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":22}]}]},{"description":"Ostomy Pouch W 2-1/4  Flange Closed/fltr","code_information":[{"code":"52084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Iv Set Safeline Needle Free","code_information":[{"code":"47050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Pad Breast Disposable","code_information":[{"code":"49094","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Anes Circuit Breathing Adult-40 Dual Lim","code_information":[{"code":"49535","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49535","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Splint Baseball Finger Medium","code_information":[{"code":"49301","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49301","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Comm Svcs By Rhc/fqhc 5 Min","code_information":[{"code":"CP17585600566600399","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0071","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Glucose, Blood Reagent Strip","code_information":[{"code":"65395","type":"CDM"},{"code":"300","type":"RC"},{"code":"82948","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Glucose Monitoring Device","code_information":[{"code":"65396","type":"CDM"},{"code":"300","type":"RC"},{"code":"82962","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Sed Rate","code_information":[{"code":"350085","type":"CDM"},{"code":"300","type":"RC"},{"code":"85652","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Lidocaine 2% Jelly 5ml Tube","code_information":[{"code":"302926","type":"CDM"},{"code":"637","type":"RC"},{"code":"76329301105","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":10,"maximum":44,"gross_charge":48,"discounted_cash":36,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":44},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Cast Padding Syn 4  Delta Roll","code_information":[{"code":"49686","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49686","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":43,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Tray Foley Cath 5 Ccadd A Cath","code_information":[{"code":"52022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":43,"gross_charge":47,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":43},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":21}]}]},{"description":"Mnt Initial Assessment (Ea 15min)","code_information":[{"code":"85010","type":"CDM"},{"code":"942","type":"RC"},{"code":"97802","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Mnt Re-assessment (Ea 15 Min)","code_information":[{"code":"85011","type":"CDM"},{"code":"942","type":"RC"},{"code":"97803","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Mnt New Diagnosis","code_information":[{"code":"85014","type":"CDM"},{"code":"942","type":"RC"},{"code":"G0270","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Ex.fix. Rod  4.0mm X  60mm","code_information":[{"code":"48132","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Ex.fix. Rod  4.0mm X  80mm","code_information":[{"code":"48133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Ex.fix. Rod  4.0mm X 100mm","code_information":[{"code":"48134","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48134","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Ex.fix. Rod  4.0mm X 120mm","code_information":[{"code":"48135","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48135","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Tube Feeding 10fr 42 Long        (B4082)","code_information":[{"code":"49623","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49623","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Rocephin Each 250mg","code_information":[{"code":"CP17585600566712054","type":"CDM"},{"code":"636","type":"RC"},{"code":"J0696","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rocephin Each 250mg","code_information":[{"code":"CP17585603283957418","type":"CDM"},{"code":"510","type":"RC"},{"code":"J0696","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":10,"maximum":42,"gross_charge":46,"discounted_cash":35,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":42},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Anes Mask Adult Small/child","code_information":[{"code":"49578","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49578","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Anes Mask Neonate","code_information":[{"code":"49748","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Urinalysis test","code_information":[{"code":"35107","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Urinalysis test","code_information":[{"code":"35114","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Urinalysis test","code_information":[{"code":"35509","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Ph Body Fluid","code_information":[{"code":"35538","type":"CDM"},{"code":"300","type":"RC"},{"code":"83986","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Nail Avulsion Multiple","code_information":[{"code":"65439","type":"CDM"},{"code":"450","type":"RC"},{"code":"11732","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Eosinophil Count","code_information":[{"code":"75787","type":"CDM"},{"code":"300","type":"RC"},{"code":"85048","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Urinalysis test","code_information":[{"code":"351213","type":"CDM"},{"code":"301","type":"RC"},{"code":"81003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Urinalysis test","code_information":[{"code":"750219","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Stockinette Syn 6 X25yd (Per 1yd)","code_information":[{"code":"49691","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Tincture Of Benzoin : 60 Ml","code_information":[{"code":"300208","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levobunolol(betagan) 0.5% Oph Sol:5 Ml","code_information":[{"code":"300211","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Naphazoline(naphcon Forte 0.1%)oph:15ml-","code_information":[{"code":"303524","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303524","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Acetic Acid 3% Soln 500ml","code_information":[{"code":"307643","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP307643","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Potassium Chloride 10%  50ml","code_information":[{"code":"47098","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Potassium Chloride 30% 100ml","code_information":[{"code":"47100","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Potassium Chloride 40% 100ml","code_information":[{"code":"47101","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":41,"gross_charge":45,"discounted_cash":34,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":41},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":20}]}]},{"description":"Vial Fluid Transfer Device Dual Spike","code_information":[{"code":"52259","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Hemophilus Influenza B Vaccine, Prp-omp,","code_information":[{"code":"CP17585600566637927","type":"CDM"},{"code":"521","type":"RC"},{"code":"90647","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Amiodarone Vial 150mg/3ml","code_information":[{"code":"303155","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323061601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Ampicillin Vial  250mg","code_information":[{"code":"304198","type":"CDM"},{"code":"250","type":"RC"},{"code":"65219001401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Bupivacaine 0.25% Vial 75mg/30ml","code_information":[{"code":"301007","type":"CDM"},{"code":"250","type":"RC"},{"code":"40911","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Bupivacaine 0.5% Vial 150mg/30ml","code_information":[{"code":"301010","type":"CDM"},{"code":"250","type":"RC"},{"code":"14393","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Cefazolin Vial 1gm","code_information":[{"code":"300089","type":"CDM"},{"code":"250","type":"RC"},{"code":"44567012025","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ceftriaxone Vial  250mg","code_information":[{"code":"301553","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505615101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Ceftriaxone Vial  500mg","code_information":[{"code":"303179","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505615201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Ceftriaxone Vial 1gm","code_information":[{"code":"301550","type":"CDM"},{"code":"636","type":"RC"},{"code":"44567070125","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dexamethasone  Vial 10mg/ml Pf","code_information":[{"code":"300465","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021005301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Famotidine Vial 20mg/2ml","code_information":[{"code":"303522","type":"CDM"},{"code":"250","type":"RC"},{"code":"67457043300","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Fentanyl Vial 250mcg/5ml","code_information":[{"code":"305963","type":"CDM"},{"code":"636","type":"RC"},{"code":"40990","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Folic Acid Vial 50mg/10ml","code_information":[{"code":"300694","type":"CDM"},{"code":"250","type":"RC"},{"code":"39822110001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Furosemide  Vial  20mg/2ml","code_information":[{"code":"303411","type":"CDM"},{"code":"250","type":"RC"},{"code":"71288020302","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Gentamicin Vial  80mg/2ml","code_information":[{"code":"300713","type":"CDM"},{"code":"250","type":"RC"},{"code":"63323001001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Haloperidol  Vial 5mg/ml","code_information":[{"code":"300748","type":"CDM"},{"code":"250","type":"RC"},{"code":"25021080601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Heparin Lock Flush Syr. 500units/5ml","code_information":[{"code":"304229","type":"CDM"},{"code":"250","type":"RC"},{"code":"64253033335","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":500,"type":"UN"}},{"description":"Ketorolac Vial 15mg/ml","code_information":[{"code":"303178","type":"CDM"},{"code":"636","type":"RC"},{"code":"31722030501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Ketorolac Vial 30mg/ml","code_information":[{"code":"301769","type":"CDM"},{"code":"636","type":"RC"},{"code":"33800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Lidocaine 1% Vial  Mpf 20mg/2ml","code_information":[{"code":"306642","type":"CDM"},{"code":"250","type":"RC"},{"code":"55150016102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Lidocaine 2% Vial  Mpf 100mg/5ml","code_information":[{"code":"304366","type":"CDM"},{"code":"250","type":"RC"},{"code":"14395","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lorazepam Vial 2mg/ml","code_information":[{"code":"300146","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Metoclopramide Vial 10mg/2ml","code_information":[{"code":"301514","type":"CDM"},{"code":"250","type":"RC"},{"code":"23155024031","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Metoprolol Vial 5mg/5ml","code_information":[{"code":"300971","type":"CDM"},{"code":"250","type":"RC"},{"code":"14396","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Midazolam Vial 2mg/2ml","code_information":[{"code":"304072","type":"CDM"},{"code":"636","type":"RC"},{"code":"25021065502","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Midazolam Vial 5mg/ml","code_information":[{"code":"305962","type":"CDM"},{"code":"636","type":"RC"},{"code":"64160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Nacl 0.9% Pf Vial 10ml","code_information":[{"code":"303398","type":"CDM"},{"code":"272","type":"RC"},{"code":"40948","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Ns Flush Syringe 10ml","code_information":[{"code":"304211","type":"CDM"},{"code":"272","type":"RC"},{"code":"8290306547","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Ondansetron  Vial 4mg/2ml","code_information":[{"code":"304019","type":"CDM"},{"code":"636","type":"RC"},{"code":"60505613000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Sterile Saline Flush Syringe 10ml","code_information":[{"code":"306474","type":"CDM"},{"code":"272","type":"RC"},{"code":"8290306553","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":10,"type":"ML"}},{"description":"Hemophilus Influenza B Vaccine, Prp-omp,","code_information":[{"code":"CP17585603283912937","type":"CDM"},{"code":"510","type":"RC"},{"code":"90647","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Connector 5 In 1 Sterile","code_information":[{"code":"49453","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49453","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Heat Aerosol Per Hr","code_information":[{"code":"60066","type":"CDM"},{"code":"410","type":"RC"},{"code":"CP60066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Zz Heparin Flush: 100 Units/ml 30ml*","code_information":[{"code":"300761","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300761","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Inj Carp 10mg/ml","code_information":[{"code":"301091","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Neostigmine 1:1000 Inj:10 Mg/10ml","code_information":[{"code":"301206","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lidocaine 2% Vial 200mg/10ml","code_information":[{"code":"301940","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP301940","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppketorolac Vial 60mg/2ml","code_information":[{"code":"302355","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dexamethasone Inj: 4 Mg/5ml","code_information":[{"code":"304199","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1100","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Sulf Inj: 5mg/ml 1ml Vial","code_information":[{"code":"304403","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fentanyl Compound Syr 100mcg/2ml","code_information":[{"code":"304495","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3010","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":40,"gross_charge":44,"discounted_cash":33,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":40},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Meperidine Inj: 75 Mg/ml","code_information":[{"code":"300481","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300481","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Meperidine Inj: 25 Mg/ml","code_information":[{"code":"303201","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP303201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Heparin Flush 10units/ml 10ml","code_information":[{"code":"304142","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cath Urethral 14fr Pvc","code_information":[{"code":"49163","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49163","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":".Cryptococcus Ag Titer","code_information":[{"code":"751253","type":"CDM"},{"code":"300","type":"RC"},{"code":"86406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Oxy Ears","code_information":[{"code":"60048","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60048","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Mask Trach Adult","code_information":[{"code":"60153","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"11201 Addtl 10 Skin Tags Add-on Code","code_information":[{"code":"CP17585600566582012","type":"CDM"},{"code":"521","type":"RC"},{"code":"11201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Removal Impacted Cerumen Using Irrigation Or Lavage Bilateral","code_information":[{"code":"CP17585600566717672-50","type":"CDM"},{"code":"521","type":"RC"},{"code":"69209","type":"CPT","modifier":"50"}],"standard_charges":[{"setting":"outpatient","modifier_code":["50"],"minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"11201 Addtl 10 Skin Tags Add-on Code","code_information":[{"code":"CP17585603283833045","type":"CDM"},{"code":"510","type":"RC"},{"code":"11201","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":39,"gross_charge":43,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":39},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":19}]}]},{"description":"Nebulizer Hand Held Disposable","code_information":[{"code":"60034","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60034","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Mnt Telemedicine Assessment (5-10 Min)","code_information":[{"code":"85018","type":"CDM"},{"code":"510","type":"RC"},{"code":"98966","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath Foley  5cc 14fr             *Latex*","code_information":[{"code":"49035","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath Foley  5cc 12fr             *Latex*","code_information":[{"code":"49031","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49031","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath Foley  5cc 16fr             *Latex*","code_information":[{"code":"49038","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath Foley  5cc 20fr             *Latex*","code_information":[{"code":"49040","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Cath Foley 30cc 22fr             *Latex*","code_information":[{"code":"49042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Dress Wet Pack Water Sterile       A6229","code_information":[{"code":"49232","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6229","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Tube & Cath Anchor Device","code_information":[{"code":"50103","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Empty Container Viaflex Plastic 1000 Ml","code_information":[{"code":"47094","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47094","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Mask Simple O2 Pediatric","code_information":[{"code":"60152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Zz Januvia 100mg","code_information":[{"code":"904177","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP904177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Saline Lock Flush 5mldo Not Stock","code_information":[{"code":"310259","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP310259","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Heparin In Nacl 1000u/500ml","code_information":[{"code":"47077","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47077","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":9,"maximum":38,"gross_charge":42,"discounted_cash":32,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Hemoglobin","code_information":[{"code":"35013","type":"CDM"},{"code":"300","type":"RC"},{"code":"85018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Hematocrit","code_information":[{"code":"35014","type":"CDM"},{"code":"300","type":"RC"},{"code":"85014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Hemoglobin","code_information":[{"code":"35024","type":"CDM"},{"code":"300","type":"RC"},{"code":"85018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Hematocrit (Not Spun)","code_information":[{"code":"35025","type":"CDM"},{"code":"300","type":"RC"},{"code":"85014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Blood Count; Other Than Spun Hematocrit","code_information":[{"code":"758003","type":"CDM"},{"code":"300","type":"RC"},{"code":"85014","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":".Blood Count; Hemoglobin","code_information":[{"code":"758004","type":"CDM"},{"code":"300","type":"RC"},{"code":"85018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Amoxicillin Oral Susp. 125mg/5ml","code_information":[{"code":"300067","type":"CDM"},{"code":"637","type":"RC"},{"code":"78160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Amoxicillin Oral Susp. 250mg/5ml","code_information":[{"code":"300069","type":"CDM"},{"code":"637","type":"RC"},{"code":"78160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Amoxicillin Oral Susp. 250mg/5ml 100ml","code_information":[{"code":"312401","type":"CDM"},{"code":"637","type":"RC"},{"code":"78160","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Amoxicillin Oral Susp. 400mg/5ml","code_information":[{"code":"310489-17","type":"CDM"},{"code":"637","type":"RC"},{"code":"93416","type":"CPT","modifier":"17"}],"standard_charges":[{"setting":"outpatient","modifier_code":["17"],"minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Calmoseptine 2.5oz Tube","code_information":[{"code":"310932","type":"CDM"},{"code":"637","type":"RC"},{"code":"79900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Clotrimazole 1% Cream 30gm Tube","code_information":[{"code":"300977","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672200202","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Dibucaine 1% Ointment 28gm Tube","code_information":[{"code":"312574","type":"CDM"},{"code":"637","type":"RC"},{"code":"53612","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Diphenhydramine 2% Cream 28 Gm Tube","code_information":[{"code":"302992","type":"CDM"},{"code":"637","type":"RC"},{"code":"90453","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Enalaprilat Vial 1.25mg/ml","code_information":[{"code":"309612","type":"CDM"},{"code":"250","type":"RC"},{"code":"14397","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Fluticasone Nasal Spray 50mcg","code_information":[{"code":"307956","type":"CDM"},{"code":"637","type":"RC"},{"code":"60505082901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Gentamicin   0.3% Opht. Soln. 5ml","code_information":[{"code":"300703","type":"CDM"},{"code":"637","type":"RC"},{"code":"61314063305","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Hydrocortisone   1% Cream 28gm Tube","code_information":[{"code":"300771","type":"CDM"},{"code":"637","type":"RC"},{"code":"53614","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydrocortisone   2.5% Cream 30gm Tube","code_information":[{"code":"300104","type":"CDM"},{"code":"637","type":"RC"},{"code":"16800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Hydrogel Wound Gel 85gm Tube","code_information":[{"code":"312006","type":"CDM"},{"code":"637","type":"RC"},{"code":"40565011527","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Moisturizing Cream 57gm Tube","code_information":[{"code":"300662","type":"CDM"},{"code":"637","type":"RC"},{"code":"72140003868","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Mupirocin 2% Ointment 22gm Tube","code_information":[{"code":"303481","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672131200","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nystatin Cream 15gm Tube","code_information":[{"code":"301140","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802005935","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nystatin Ointment 15gm Tube","code_information":[{"code":"303494","type":"CDM"},{"code":"637","type":"RC"},{"code":"71306","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Silver Nitrate 3 Sticks/package","code_information":[{"code":"302029","type":"CDM"},{"code":"270","type":"RC"},{"code":"12870000102","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Triamcinolone 0.1% Cream 15gm Tube","code_information":[{"code":"300886","type":"CDM"},{"code":"637","type":"RC"},{"code":"67877025115","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Zinc Oxide 20% 30gm Tube","code_information":[{"code":"309946","type":"CDM"},{"code":"637","type":"RC"},{"code":"53613","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Zinc Oxide 20% 60gm Tube","code_information":[{"code":"300188","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cetacaine Spray 20gm Bottle","code_information":[{"code":"300333","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP300333","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nystatin Susp. 100,000 Un/ml:60 Ml*","code_information":[{"code":"301273","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301273","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nitroglycerin 2% Ointment:30 Gm-","code_information":[{"code":"302352","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302352","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Calmoseptine 2.5oz","code_information":[{"code":"304362","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nf-lansoprazole Oral Suspension Compound","code_information":[{"code":"304901","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP304901","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rr-ammonium Lactate 12% Lotion 226gm","code_information":[{"code":"307797","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP307797","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Amoxicillin Oral Susp. 400mg/5ml","code_information":[{"code":"310489","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP310489","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lido/epi/tetracaine Solution Syringe 3ml","code_information":[{"code":"311822","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP311822","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppa & D Ointment","code_information":[{"code":"312126","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Suction Can  1500cc","code_information":[{"code":"49133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":38,"gross_charge":41,"discounted_cash":31,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":38},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Ostomy Loop Bridge 3.5","code_information":[{"code":"49334","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49334","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Influenza Rapid Test","code_information":[{"code":"CP17585600566670511","type":"CDM"},{"code":"521","type":"RC"},{"code":"87804","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Nebulizer Airway Inhalation Treatment","code_information":[{"code":"CP17585600566687455","type":"CDM"},{"code":"521","type":"RC"},{"code":"94640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Strep A Rapid Test","code_information":[{"code":"CP17585600566713746","type":"CDM"},{"code":"521","type":"RC"},{"code":"87880","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Heparin 10 Units/ml: 30ml Mdv","code_information":[{"code":"30340","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP30340","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Potassium Chloride 20%  50ml","code_information":[{"code":"47099","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47099","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":37,"gross_charge":40,"discounted_cash":30,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":37},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":18}]}]},{"description":"Ostomy Pouch W 4  Flange","code_information":[{"code":"49208","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tube E/t W/o Cuff 3.0","code_information":[{"code":"49293","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49293","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cold Pack Perineal(ob Pad)","code_information":[{"code":"49486","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49486","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Iv Set Vented Spike Adapter","code_information":[{"code":"47037","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Iv Set Secondary Piggyback","code_information":[{"code":"47042","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47042","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Budesonide Inh Neb Soln. 0.5mg/2ml","code_information":[{"code":"304003-67","type":"CDM"},{"code":"250","type":"RC"},{"code":"93681","type":"CPT","modifier":"67"}],"standard_charges":[{"setting":"outpatient","modifier_code":["67"],"minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Buprenorphine/naloxone 2mg-0.5mg Film","code_information":[{"code":"312055","type":"CDM"},{"code":"637","type":"RC"},{"code":"43598057901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Buprenorphine/naloxone 8mg-2mg Film","code_information":[{"code":"311559","type":"CDM"},{"code":"637","type":"RC"},{"code":"43598058201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":8,"type":"ME"}},{"description":"Bupropion Xl Tab 150mg","code_information":[{"code":"308890","type":"CDM"},{"code":"637","type":"RC"},{"code":"90475","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Cefpodoxime Tab 200mg","code_information":[{"code":"302836","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862009620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Celecoxib Cap 200mg","code_information":[{"code":"303393","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268016911","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Chlorpromazine Tab 25mg","code_information":[{"code":"302521","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Cholestyramine 4gm Packet","code_information":[{"code":"301495","type":"CDM"},{"code":"637","type":"RC"},{"code":"49884046564","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Colchicine Tab 0.6mg","code_information":[{"code":"300378","type":"CDM"},{"code":"637","type":"RC"},{"code":"70010000201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":6,"type":"ME"}},{"description":"Doxazosin Tab 2mg","code_information":[{"code":"300292","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268022315","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Duloxetine Dr Cap 20mg","code_information":[{"code":"312058","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180029407","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Duloxetine Dr Cap 30mg","code_information":[{"code":"312057","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180029506","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Duloxetine Dr Cap 60mg","code_information":[{"code":"312144","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180029606","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Fentanyl Patch  25mcg/hr","code_information":[{"code":"302819","type":"CDM"},{"code":"637","type":"RC"},{"code":"47781042411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fentanyl Patch  50mcg/hr","code_information":[{"code":"300609","type":"CDM"},{"code":"637","type":"RC"},{"code":"47781042611","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fluconazole Tab 150mg","code_information":[{"code":"304998","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237000511","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Glipizide Er Tab 2.5mg","code_information":[{"code":"309072","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687076811","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Isosorbide Mononitrate Tab 60mg","code_information":[{"code":"302821","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":60,"type":"ME"}},{"description":"Lidocaine 2% Jelly 6ml Topical Syringe","code_information":[{"code":"312235","type":"CDM"},{"code":"637","type":"RC"},{"code":"25021067376","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":6,"type":"ML"}},{"description":"Lidocaine 5% Patch","code_information":[{"code":"308106","type":"CDM"},{"code":"637","type":"RC"},{"code":"60318","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Linezolid  Tab 600mg","code_information":[{"code":"312023","type":"CDM"},{"code":"637","type":"RC"},{"code":"90465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Liquacel 30ml","code_information":[{"code":"312951","type":"CDM"},{"code":"272","type":"RC"},{"code":"82028010091","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Medroxyprogesterone Tab 10mg","code_information":[{"code":"312060","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687010521","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Megestrol Oral Susp 400mg/10ml","code_information":[{"code":"304319","type":"CDM"},{"code":"637","type":"RC"},{"code":"12109","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Methotrexate Tab 2.5mg","code_information":[{"code":"303404","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Methylprednisolone   Tab 32mg","code_information":[{"code":"308177","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762005101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":32,"type":"ME"}},{"description":"Misoprostol Tab 200mcg","code_information":[{"code":"304154","type":"CDM"},{"code":"637","type":"RC"},{"code":"70954044420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Morphine Oral Soln. 10mg/5ml","code_information":[{"code":"304186","type":"CDM"},{"code":"637","type":"RC"},{"code":"12109","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Nitrofurantoin Monohydrate Cap 100mg","code_information":[{"code":"308959","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268062411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Nitroglycerin 2% Ointment 1gm Packet","code_information":[{"code":"304131","type":"CDM"},{"code":"637","type":"RC"},{"code":"28103","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Oseltamivir Cap 30mg","code_information":[{"code":"306101","type":"CDM"},{"code":"637","type":"RC"},{"code":"52745","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Oseltamivir Cap 45mg","code_information":[{"code":"312307","type":"CDM"},{"code":"637","type":"RC"},{"code":"68180067611","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":45,"type":"ME"}},{"description":"Oseltamivir Cap 75mg","code_information":[{"code":"304078","type":"CDM"},{"code":"637","type":"RC"},{"code":"72205004411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Oxycodone Extended Release Tab 10mg","code_information":[{"code":"303332","type":"CDM"},{"code":"637","type":"RC"},{"code":"59011041020","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Promethazine Suppository 25mg","code_information":[{"code":"301365","type":"CDM"},{"code":"637","type":"RC"},{"code":"71305","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Racemic Epinephrine 2.25% Inh. 0.5ml","code_information":[{"code":"303458","type":"CDM"},{"code":"250","type":"RC"},{"code":"48727","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":5,"type":"ML"}},{"description":"Scopolamine Patch 1mg/72hr","code_information":[{"code":"303787","type":"CDM"},{"code":"637","type":"RC"},{"code":"50742050501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Sodium Cit/citric Acid Oral Soln. 30ml","code_information":[{"code":"300225","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Sulfameth/tmp Oral Syr 800mg/160mg/20ml","code_information":[{"code":"301574","type":"CDM"},{"code":"637","type":"RC"},{"code":"12108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Vancomycin Cap 125mg","code_information":[{"code":"312029","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155085878","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Vancomycin Oral Syringe 500mg/10ml","code_information":[{"code":"308060","type":"CDM"},{"code":"637","type":"RC"},{"code":"63323028421","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Vitamin D2 Cap 50,000units","code_information":[{"code":"304326","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268029711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Iv Set Vial Mate","code_information":[{"code":"47107","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47107","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Hydrocortisone Supp: 25 Mg","code_information":[{"code":"300103","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300103","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dexamethasone Tab 4mg","code_information":[{"code":"300466","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300466","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Erythromycin Base Tablet: 250 Mg","code_information":[{"code":"300650","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nitro Patch 0.6 Mg/hr","code_information":[{"code":"301226","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301226","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Conj.estrogens(premarin) Tab: 0.3 Mg","code_information":[{"code":"301427","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301427","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinidine Gluc(quinaglute)tab: 324 Mg","code_information":[{"code":"301501","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301501","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Temazepam(restoril) Cap: 30 Mg*","code_information":[{"code":"301529","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301529","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydrocodone/chlorphen Oral Syringe 5ml","code_information":[{"code":"301807","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301807","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Felodipine(plendil) Tab: 5 Mg-","code_information":[{"code":"302607","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302607","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zafirlukast Tab 20mg","code_information":[{"code":"303141","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Atorvastatin(lipitor)tab:10mg","code_information":[{"code":"303216","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303216","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Valsartan 80mg","code_information":[{"code":"303279","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303279","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Irbesartan(avapro) Tab: 150 Mg-","code_information":[{"code":"303310","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tolterodine(detrol) Tab: 2 Mg","code_information":[{"code":"303326","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303326","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tolterodine La(detrol La):2mg Cap","code_information":[{"code":"303339","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303339","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rosiglitazone(avandia)tab:4mg","code_information":[{"code":"303543","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303543","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Oxybutynin Xl Tab:5 Mg*","code_information":[{"code":"303972","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303972","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Budesonide Inh Neb Soln. 0.5mg/2ml","code_information":[{"code":"304003","type":"CDM"},{"code":"250","type":"RC"},{"code":"CP304003","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Naltrexone (Revia) Tab: 50 Mg","code_information":[{"code":"304037","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304037","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Depakote*er* Tab 250mg Do Not Stock","code_information":[{"code":"304158","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304158","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Conj. Estrogens: 0.625 Mg","code_information":[{"code":"304233","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304233","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Memantine 10mg Tab","code_information":[{"code":"304252","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304252","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Venlafaxine (Effexor )Cap:75 Mg","code_information":[{"code":"304305","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304305","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Metoprolol Xl(toprol Xl) Tab:200 Mg","code_information":[{"code":"304315","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Creon 10","code_information":[{"code":"304348","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304348","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Mesalamine(pentasa) Tab:250 Mg","code_information":[{"code":"304359","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304359","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Mercaptopurine 50mg","code_information":[{"code":"304383","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Dutasteride 0.5mg Capsule","code_information":[{"code":"304396","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304396","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Prostat 30ml","code_information":[{"code":"306186","type":"CDM"},{"code":"272","type":"RC"},{"code":"CP306186","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Venlafaxine Xr(effexor Xr)cap:75 Mg*","code_information":[{"code":"310454","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP310454","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trifluoperazine Tab 10mg","code_information":[{"code":"312897","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312897","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ex.fix. Protective Cap 11.0mm Rod","code_information":[{"code":"48123","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48123","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ex.fix. Protective Cap  2.5mm K-wire","code_information":[{"code":"48127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ex.fix. Protective Cap  4.0mm Rod/bar","code_information":[{"code":"48128","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP48128","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cerclarge Wire Coil 1.00mm X 10m (25cm)","code_information":[{"code":"48142","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48142","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cerclarge Wire Coil 1.25mm X 10m (25cm)","code_information":[{"code":"48143","type":"CDM"},{"code":"278","type":"RC"},{"code":"CP48143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Bandage Elastic 6  Ace Lf","code_information":[{"code":"49011","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49011","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cath Intracath 16gx8","code_information":[{"code":"49084","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49084","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Enema Bucket/bag Kit","code_information":[{"code":"49101","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49101","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Enema Kit Fleet Oil","code_information":[{"code":"49177","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49177","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Mucous Specimen Trap 40cc","code_information":[{"code":"49238","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49238","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Gutter Finger 7/8  X 4","code_information":[{"code":"49267","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Gutter Finger 7/8  X 3","code_information":[{"code":"49271","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Frog Finger Large","code_information":[{"code":"49275","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Frog Finger Small","code_information":[{"code":"49291","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49291","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Frog Finger Medium","code_information":[{"code":"49292","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49292","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Four-prong Small","code_information":[{"code":"49307","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Four-prong Medium","code_information":[{"code":"49308","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49308","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Baseball Finger Small","code_information":[{"code":"49323","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49323","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Four-prong Large","code_information":[{"code":"49324","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49324","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Sharps Safe Needle Count/disp 100/100","code_information":[{"code":"49332","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49332","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Staple Extractor Skin","code_information":[{"code":"49398","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49398","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tube Levin Radiopaque 18fr (B4083)","code_information":[{"code":"49403","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49403","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Donut Cushion","code_information":[{"code":"49417","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49417","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Nutr Nutren 2.0 250ml            (B4152)","code_information":[{"code":"49497","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49497","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Nutr Infant Human Milk Fortifier","code_information":[{"code":"49499","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49499","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Electrosurg Electrode Needle","code_information":[{"code":"49504","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49504","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tubing Pressure 24  Male/male Connectors","code_information":[{"code":"49541","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49541","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Decanter Iv Bag","code_information":[{"code":"49579","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49579","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Decanter Med Vial","code_information":[{"code":"49582","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49582","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tube Penrose Drain 3/8 X 12      *Latex*","code_information":[{"code":"49625","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49625","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Nutritional Osmolite             (B4150)","code_information":[{"code":"49662","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49662","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Plaster Cast Roll 4","code_information":[{"code":"49671","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49671","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Cast Padding Syn 3  Delta Roll","code_information":[{"code":"49685","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49685","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Stockinette Syn 4 X25yd (Per 1yd)","code_information":[{"code":"49690","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49690","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Aluma-foam Finger 3/4 X18","code_information":[{"code":"49707","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ostomy Pouch W 1-3/4  Flange","code_information":[{"code":"50096","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ostomy Pouch W 2-1/4  Flange","code_information":[{"code":"50097","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ostomy Pouch W 2-3/4  Flange","code_information":[{"code":"50098","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50098","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Bandage Coban Lf Wrap 2","code_information":[{"code":"50133","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50133","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 1","code_information":[{"code":"50143","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50143","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 2","code_information":[{"code":"50144","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50144","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 3","code_information":[{"code":"50145","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50145","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 4","code_information":[{"code":"50146","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50146","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 5","code_information":[{"code":"50147","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50147","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 6","code_information":[{"code":"50148","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Wound Care Optipore Cleansing Sponge","code_information":[{"code":"50161","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50161","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Wound Care Shur-clens Cleanser 20ml","code_information":[{"code":"50162","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50162","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Press.transducer Adaptor Dble Male Luer","code_information":[{"code":"50187","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50187","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Splint Plastic Finger Sz 7","code_information":[{"code":"50296","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Armboard Infant 1 X3","code_information":[{"code":"50371","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50371","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Anes Breathing Bag 1/2l Non-latex","code_information":[{"code":"52024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Tray Suture Removal Disp","code_information":[{"code":"52091","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52091","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ostomy Sensura Drainable Pouch 2  1/8","code_information":[{"code":"52467","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52467","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Blade Electrode 6.5in","code_information":[{"code":"53199","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Depo-medrol 20 Mg Inj","code_information":[{"code":"CP17585600566608340","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1020","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Depo-medrol 20 Mg Inj","code_information":[{"code":"CP17585603283917140","type":"CDM"},{"code":"510","type":"RC"},{"code":"J1020","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Block Iv (Urinalysis N/a W/o Micro)","code_information":[{"code":"75702","type":"CDM"},{"code":"300","type":"RC"},{"code":"81005","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Ramipril Cap: 5 Mg (Autosub=enalapril)","code_information":[{"code":"300045","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Selegiline(eldepryl) Cap: 5 Mg-","code_information":[{"code":"300628","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pergolide(permax) Tab: 1 Mg-","code_information":[{"code":"301353","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinipril Tab: 5 Mg-(autosub=enalapril)","code_information":[{"code":"302603","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302603","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinipril Tab : 20 Mg*(autosub=enalapril","code_information":[{"code":"302604","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Felodipine(plendil) Tab: 10 Mg*","code_information":[{"code":"302809","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302809","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Flutamide(eulexin) Cap:125 Mg-","code_information":[{"code":"302824","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302824","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fluvastatin(lescol) Cap: 20 Mg-","code_information":[{"code":"302877","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302877","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nifedipine (Adalat) Xl Tab: 90 Mg","code_information":[{"code":"302891","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ramipril Cap: 2.5 Mg(autosub=enalapril)","code_information":[{"code":"303165","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinipril Tab: 10 Mg-(autosub=enalapril)","code_information":[{"code":"303205","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Oxycodone Extended Release Tab:20 Mg*","code_information":[{"code":"303230","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303230","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine So4 Extended Release Tab:60 Mg*","code_information":[{"code":"303231","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303231","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Rosiglitazone (Avandia) Tab:2mg","code_information":[{"code":"303545","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303545","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Metolazone Tab(zaroxolyn): 2.5 Mg","code_information":[{"code":"303935","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Fluvastin Xl (Lescol Xl)tab: 80 Mg*","code_information":[{"code":"303971","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paroxetine Cr Tab: 25 Mg*","code_information":[{"code":"304002","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304002","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paroxetine Cr Tab: 12.5 Mg*","code_information":[{"code":"304035","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304035","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Bisoprolol/hctz Tab:10/6.25 Mg Nonfor","code_information":[{"code":"304043","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304043","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Pain Mgt Amphetamines Quant (Urine)","code_information":[{"code":"757157","type":"CDM"},{"code":"300","type":"RC"},{"code":"80324","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":".Ethyl Gluconoride Confirmation","code_information":[{"code":"757979","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":36,"gross_charge":39,"discounted_cash":29,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":36},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":35},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":17}]}]},{"description":"Flu Vaccine Nonstate","code_information":[{"code":"CP17585600566637852","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q2037","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Nebulizer","code_information":[{"code":"CP17585600566681696","type":"CDM"},{"code":"521","type":"RC"},{"code":"94664","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Novolin Lente Insulin: Each Inj","code_information":[{"code":"300821","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300821","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Ketotifen Opthalmic Drops 0.025%","code_information":[{"code":"304349","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP304349","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cast Padding Cotton 6 X4yd","code_information":[{"code":"49266","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49266","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 2.0","code_information":[{"code":"49284","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49284","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 2.5","code_information":[{"code":"49285","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49285","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 3.5","code_information":[{"code":"49294","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 4.0","code_information":[{"code":"49296","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 4.5","code_information":[{"code":"49298","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49298","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 5.0","code_information":[{"code":"49300","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49300","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 5.5","code_information":[{"code":"49310","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 6.0","code_information":[{"code":"49315","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49315","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Tube E/t W/o Cuff 6.5","code_information":[{"code":"49327","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49327","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Ostomy Pouch W 1-1/2  Flange Closed End","code_information":[{"code":"50257","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50257","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Cast Padding Webril Sterile 6 X4yd","code_information":[{"code":"52512","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52512","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Cast Padding Webril Sterile 4 X4yd","code_information":[{"code":"52568","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52568","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":8,"maximum":34,"gross_charge":37,"discounted_cash":28,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":34},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Bumetanide Tab 1mg","code_information":[{"code":"303804","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Chlordiazepoxide Cap 25mg","code_information":[{"code":"300939","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687080701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Divalproex  Sprinkles 125mg","code_information":[{"code":"303138","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Emtricitabine/tenofovir Tab 200mg/300mg","code_information":[{"code":"308233","type":"CDM"},{"code":"637","type":"RC"},{"code":"42385095330","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Fluconazole Tab 100mg","code_information":[{"code":"300523","type":"CDM"},{"code":"637","type":"RC"},{"code":"68462010230","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ketorolac Tab 10mg","code_information":[{"code":"301768","type":"CDM"},{"code":"637","type":"RC"},{"code":"70710171001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Lidocaine Viscous Oral Liquid 2%  15ml","code_information":[{"code":"302602","type":"CDM"},{"code":"637","type":"RC"},{"code":"12149","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Nystatin Oral Susp 500,000 Units/5ml Ud","code_information":[{"code":"304321","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phenytoin(dilantin)infatab: 50 Mg","code_information":[{"code":"300551","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300551","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Potassium Bicarbonate Oral: 25meq Fizz","code_information":[{"code":"300894","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300894","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Nifedipine (Adalat) Xl Tab: 60 Mg","code_information":[{"code":"301455","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301455","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Carbamazepine Tab 100 Mg Do Not Stock","code_information":[{"code":"301694","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301694","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sumatriptan (Imitrex)tab: 25 Mg","code_information":[{"code":"303237","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Carbamazepine(tegretol):100mg/5ml 100ml","code_information":[{"code":"303520","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303520","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Paroxetine (Paxil) Tab: 10 Mg*","code_information":[{"code":"303604","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303604","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Metoprolol Xl(toprol Xl)tab: 25 Mg*","code_information":[{"code":"303970","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303970","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Potassium Chloride Pwd: 20 Meq Packet","code_information":[{"code":"304069","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304069","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Cellcept:500mg","code_information":[{"code":"304168","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304168","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Diltiazem Cd Cap  300 Mg","code_information":[{"code":"304244","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304244","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Brief Communication Technology-based Virtual Check-in","code_information":[{"code":"CP17585600566601468","type":"CDM"},{"code":"521","type":"RC"},{"code":"G2012","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}]},{"description":"Pergolide(permax) Tab: 0.05mg-","code_information":[{"code":"301350","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301350","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Non Formulary Drug","code_information":[{"code":"310462","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP310462","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":33,"gross_charge":36,"discounted_cash":27,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":33},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":16}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gentamicin  60mg   50ml","code_information":[{"code":"47092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":32,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Gentamicin  80mg   50ml","code_information":[{"code":"47093","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47093","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":32,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Im/subq Injection","code_information":[{"code":"CP17585603283938619","type":"CDM"},{"code":"510","type":"RC"},{"code":"90772","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":32,"gross_charge":35,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":32},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Tears Opht Soln. 15ml Bottle","code_information":[{"code":"301691-63","type":"CDM"},{"code":"637","type":"RC"},{"code":"65042","type":"CPT","modifier":"63"}],"standard_charges":[{"setting":"outpatient","modifier_code":["63"],"minimum":7,"maximum":31,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Tears Opht Soln. 15ml Bottle","code_information":[{"code":"301691","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301691","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":31,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Mask Face Tent","code_information":[{"code":"60120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":31,"gross_charge":34,"discounted_cash":26,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":31},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Phone E/m Phys/qhp 5-10 Min","code_information":[{"code":"CP17585600566713953","type":"CDM"},{"code":"521","type":"RC"},{"code":"99441","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Phone E/m Phys/qhp Straigh Forward Decision Making And More Then 10 Minutes Of Medical Discussion","code_information":[{"code":"CP17585600566718137","type":"CDM"},{"code":"521","type":"RC"},{"code":"98012","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Phone E/m Phys/qhp 5-10 Min","code_information":[{"code":"CP17585603283945361","type":"CDM"},{"code":"510","type":"RC"},{"code":"99441","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Pain Mgmt Propoxyphene, Qnt Urine","code_information":[{"code":"757960","type":"CDM"},{"code":"300","type":"RC"},{"code":"80367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".6-mam Confirm","code_information":[{"code":"757999","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Alcohol Metabolites, Quantitative, Urin","code_information":[{"code":"758000","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":".Single Drug Class Assay By Immunoassay","code_information":[{"code":"758010","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":30,"gross_charge":33,"discounted_cash":25,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":30},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":15}]}]},{"description":"Dtap Im Under 7 Yrs","code_information":[{"code":"CP17585600566614596","type":"CDM"},{"code":"521","type":"RC"},{"code":"90700","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Flu Vaccine Nonstate","code_information":[{"code":"CP17585600566637194","type":"CDM"},{"code":"521","type":"RC"},{"code":"90658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Flu Vaccine Nonstate","code_information":[{"code":"CP17585600566635415","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q2035","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Fluarix 0.5 Syringe","code_information":[{"code":"CP17585600566635474","type":"CDM"},{"code":"636","type":"RC"},{"code":"90686","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Flulaval Triv","code_information":[{"code":"CP17585600566637457","type":"CDM"},{"code":"521","type":"RC"},{"code":"90656","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Smoking Cessation","code_information":[{"code":"CP17585600566719768","type":"CDM"},{"code":"521","type":"RC"},{"code":"99406","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Oximetry (Per Test)","code_information":[{"code":"60084","type":"CDM"},{"code":"460","type":"RC"},{"code":"94760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Noninv Ear/pulse Oximtry For Oxy Sat Mul","code_information":[{"code":"65409","type":"CDM"},{"code":"460","type":"RC"},{"code":"94761","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Single Drug Class Method, Each Drug","code_information":[{"code":"751644","type":"CDM"},{"code":"301","type":"RC"},{"code":"80307","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Nasal Cann Adult","code_information":[{"code":"60022","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60022","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Mask Simple O2 Adult","code_information":[{"code":"60024","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60024","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Mask Aerosolpediatric","code_information":[{"code":"60122","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Amni Hooks","code_information":[{"code":"49006","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49006","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suction Cath W/glove  8fr","code_information":[{"code":"49141","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49141","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suction Cath W/glove 10fr","code_information":[{"code":"49159","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49159","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Enema Kit Fleet Phosphate","code_information":[{"code":"49178","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49178","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dress Gauze Roll 4.5  6-ply","code_information":[{"code":"49214","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Sanitary Pad","code_information":[{"code":"49237","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Stopcock 4 Way W/male Adapter","code_information":[{"code":"49437","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49437","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Syringe Ear 1 Oz","code_information":[{"code":"49451","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49451","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suction Poole Tips Handle Only","code_information":[{"code":"49561","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49561","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tube Feeding 8fr 42 Long         (B4082)","code_information":[{"code":"49622","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49622","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dress Gauze Roll 3  3-ply","code_information":[{"code":"50151","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50151","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dress Gauze Roll 6  6 Ply","code_information":[{"code":"50152","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":7,"maximum":29,"gross_charge":32,"discounted_cash":24,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":29},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Iv Set Syringe Pump 36  Micro-volume","code_information":[{"code":"47996","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47996","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Iv Anesthesia Set","code_information":[{"code":"52425","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52425","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Bandage Elastic 3  Ace Lf","code_information":[{"code":"49009","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49009","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Bandage Elastic 4  Ace Lf","code_information":[{"code":"49010","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Spoon Finger 5/8  X 1.5","code_information":[{"code":"49262","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49262","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Fold-over Finger Large","code_information":[{"code":"49263","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49263","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Padding Cotton 4 X4yd","code_information":[{"code":"49265","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49265","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Spoon Finger 5/8  X 3","code_information":[{"code":"49270","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49270","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Fold-over Finger Medium","code_information":[{"code":"49277","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Fold-over Finger Small","code_information":[{"code":"49280","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49280","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tubing Suction 6mm X  10' Sterile","code_information":[{"code":"49343","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49343","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Nutr Nutren 1.5 250ml            (B4152)","code_information":[{"code":"49496","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49496","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Dress Gauze Roll 2 1/4  6-ply","code_information":[{"code":"49612","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49612","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tube Levin Radiopaque 16fr       (B4083)","code_information":[{"code":"49618","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49618","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tube Penrose Drain 5/8 X 18      *Latex*","code_information":[{"code":"49627","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49627","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Nutr Ensure W/ Fiber 8oz         (B4150)","code_information":[{"code":"49661","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49661","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Plaster Cast Roll 3","code_information":[{"code":"49670","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49670","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Cast Padding Syn 2  Delta Roll","code_information":[{"code":"49684","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49684","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Stockinette Syn 2 X 25yd (Per 1yd)","code_information":[{"code":"49688","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49688","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Stockinette Syn 3 X25yd (Per 1yd)","code_information":[{"code":"49689","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49689","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Plaster Cast Roll 2","code_information":[{"code":"49702","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49702","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Gutter Finger 7/8  X 1.5","code_information":[{"code":"49705","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Gutter Finger 7/8  X 6","code_information":[{"code":"49751","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Armboard Infant 2 X6","code_information":[{"code":"49794","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49794","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Bandage Coban Wrap 1","code_information":[{"code":"50132","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Suction Cath W/glove  5/6fr","code_information":[{"code":"50202","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50202","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Nutr Jevity 1.5 Cal 8oz **      (B4150)","code_information":[{"code":"50280","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50280","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Trach Tube Holder Posey","code_information":[{"code":"50310","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50310","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Bandage Coban Lf Wrap 1","code_information":[{"code":"50394","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50394","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Aluminum Foam Finge R1/2  X 18","code_information":[{"code":"52493","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Splint Aluminum Foam Finger 1/2  X 9","code_information":[{"code":"52494","type":"CDM"},{"code":"274","type":"RC"},{"code":"L3923","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Fastener Anchor Fast Endotrach","code_information":[{"code":"52852","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52852","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Oxygentubing  7ft","code_information":[{"code":"60023","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60023","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Tetanus & Diphtheria Toxoids (Td) Adsorb\tTetanus & Diphtheria Toxoids (Td)","code_information":[{"code":"CP17585600566722278","type":"CDM"},{"code":"636","type":"RC"},{"code":"90714","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Amphetamines 3 Or 4","code_information":[{"code":"758556","type":"CDM"},{"code":"300","type":"RC"},{"code":"80325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":".Methylenedioxyamphetamines","code_information":[{"code":"758557","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":28,"gross_charge":31,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":28},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":14}]}]},{"description":"Anes Per Min- Ext Mid & Inner Ear W/bx","code_information":[{"code":"13300120-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"120","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Proc On Eye, Lens Surg","code_information":[{"code":"13300142-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"142","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Integ System, Muscles,","code_information":[{"code":"13300300-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"300","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Of Neck, Nos >1 Yr","code_information":[{"code":"13300320-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"320","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Needle Biopsy Of Thyroid","code_information":[{"code":"13300322-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"322","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Anes For Major Vess Of Nec","code_information":[{"code":"13300352-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"352","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Integ Sys Of Extrem, Ant T","code_information":[{"code":"13300400-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"400","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Clavicle & Scapula, Nos","code_information":[{"code":"13300450-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"450","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Closed Chest (Inc Bronch)","code_information":[{"code":"13300520-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"520","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Needle Biopsy Of Pleura","code_information":[{"code":"13300522-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"522","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Pneumocentesis","code_information":[{"code":"13300524-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"524","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Access To Central Ven Circ","code_information":[{"code":"13300532-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"532","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Anes For Thoractomy Px","code_information":[{"code":"13300540-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"540","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Sternal Debridement","code_information":[{"code":"13300550-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"550","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px In Lumbar Region, Nos","code_information":[{"code":"13300630-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"630","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Dx Or Thx Lumbar Puncture","code_information":[{"code":"13300635-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"635","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px On Upp Ant Abd Wall Nos","code_information":[{"code":"13300700-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"700","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Percut Liver Biopsy","code_information":[{"code":"13300702-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"702","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Upper Post Abd Wall","code_information":[{"code":"13300730-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"730","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Upper Gastro Endo Px","code_information":[{"code":"13300731-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"731","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Hernia Repairs, Up Abd Nos","code_information":[{"code":"13300750-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"750","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Lmbr/ventr Hernias Or Wnd","code_information":[{"code":"13300752-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"752","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Transabd Rpr Diaph Hernia","code_information":[{"code":"13300756-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"756","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Intraperitoneal Px Up Abd","code_information":[{"code":"13300790-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"790","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Lower Ant Abd Wall, Nos","code_information":[{"code":"13300800-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"800","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Lwr Abd Wall Panniulectomy","code_information":[{"code":"13300802-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"802","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Lower Gastro Endo Px","code_information":[{"code":"13300811-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"811","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Lower Gastro Endo Px","code_information":[{"code":"13300812-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"812","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px Uppr & Lwr Gi Endo Px S","code_information":[{"code":"13300813-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"813","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Lowr Post Abd Wall","code_information":[{"code":"13300820-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"820","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Hernia Repairs In Lwr Abd","code_information":[{"code":"13300830-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"830","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Vent & Incis Hernias In Lw","code_information":[{"code":"13300832-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"832","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Intraperitoneal Px Lwr Abd","code_information":[{"code":"13300840-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"840","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Radical Hysterectomy","code_information":[{"code":"13300846-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"846","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Tubal Ligation/resection","code_information":[{"code":"13300851-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"851","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Extraperitoneal Px Lwr Abd","code_information":[{"code":"13300860-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"860","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Cystolithotomy","code_information":[{"code":"13300870-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"870","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Anorectal Px","code_information":[{"code":"13300902-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"902","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px On Male Genitalia, Nos","code_information":[{"code":"13300920-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"920","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Vasectomy","code_information":[{"code":"13300921-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"921","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Px On Male Genitalia, Unde","code_information":[{"code":"13300924-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"924","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Vaginal Px, Nos","code_information":[{"code":"13300940-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"940","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Vag Px; Colpoptomy, Vag","code_information":[{"code":"13300942-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"942","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Vaginal Hysterectomy","code_information":[{"code":"13300944-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"944","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Cervical Cerclage","code_information":[{"code":"13300948-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"948","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Culdoscopy","code_information":[{"code":"13300950-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"950","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Anes Per Min- Hysteroscopy &/Or Hysteros","code_information":[{"code":"13300952-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"952","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":13,"maximum":1285,"gross_charge":30,"discounted_cash":23,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Sod.chl. 0.9% & 20 Meq Kcl 1000 Ml","code_information":[{"code":"47062","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47062","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":27,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Dext. 5% & Nacl 0.45% 40 Meq Kcl","code_information":[{"code":"47063","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47063","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":27,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Dext. 5% & Nacl 0.45% 30 Meq Kcl","code_information":[{"code":"47102","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47102","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":27,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Dext. 5% & Nacl 0.33% 20 Meq Kcl","code_information":[{"code":"47106","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47106","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":27,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Sod.chl. 0.9% & 40 Meq Kcl 1000 Ml","code_information":[{"code":"47115","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47115","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":27,"gross_charge":29,"discounted_cash":22,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":27},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":13}]}]},{"description":"Simethicone Drops 2000mg/30ml Bottle","code_information":[{"code":"301151","type":"CDM"},{"code":"637","type":"RC"},{"code":"56184012041","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":6,"maximum":26,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":2000,"type":"ME"}},{"description":"Fluzone Flu Vaccine","code_information":[{"code":"CP17585600566638874","type":"CDM"},{"code":"521","type":"RC"},{"code":"Q2038","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":26,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Removal Impacted Cerumen Using Irrigation Or Lavage Unilateral","code_information":[{"code":"CP17585600566718923","type":"CDM"},{"code":"521","type":"RC"},{"code":"69209","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":26,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Valve One-way","code_information":[{"code":"60126","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60126","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":26,"gross_charge":28,"discounted_cash":21,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":26},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Ipratropium (Atrovent) Neb:0.5mg/2.5ml","code_information":[{"code":"302842","type":"CDM"},{"code":"636","type":"RC"},{"code":"J7644","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":25,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dext. 5% & Nacl 9% 20 Meq Kcl","code_information":[{"code":"47110","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47110","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":25,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Dext. 5% & L/r 20 Meq Kcl","code_information":[{"code":"47111","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47111","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":25,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Nutr Nutren 1.0 W/fiber 250ml    (B4150)","code_information":[{"code":"49500","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":25,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Dress Hydrophilic Pwdr Multidex/1gm(6/pk","code_information":[{"code":"50164","type":"CDM"},{"code":"272","type":"RC"},{"code":"A6262","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":6,"maximum":25,"gross_charge":27,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":25},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":12}]}]},{"description":"Amoxicillin/clav Tab 875mg","code_information":[{"code":"303010-53","type":"CDM"},{"code":"637","type":"RC"},{"code":"93227","type":"CPT","modifier":"53"}],"standard_charges":[{"setting":"outpatient","modifier_code":["53"],"minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":875,"type":"ME"}},{"description":"Aripiprazole Tab  2mg","code_information":[{"code":"311028","type":"CDM"},{"code":"637","type":"RC"},{"code":"65162089603","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Azithromycin  Tab 250mg","code_information":[{"code":"302859","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Buspirone Tab 15mg","code_information":[{"code":"309160","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Carbamazepine Tab 200mg","code_information":[{"code":"301695","type":"CDM"},{"code":"637","type":"RC"},{"code":"75834022101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Cefuroxime Tab 250mg","code_information":[{"code":"304405","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862069960","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Haloperidol  Tab 1mg","code_information":[{"code":"300740","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Haloperidol  Tab 5mg","code_information":[{"code":"308885","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Loperamide Cap 2mg","code_information":[{"code":"300796","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687022901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Metoclopramide Tab 5mg","code_information":[{"code":"312632","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687062001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Metolazone Tab 2.5mg","code_information":[{"code":"304228","type":"CDM"},{"code":"637","type":"RC"},{"code":"18550","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Metronidazole Tab 500mg","code_information":[{"code":"300680","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Midodrine Tab 2.5mg","code_information":[{"code":"303270","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Nitro Patch 0.1mg/hr","code_information":[{"code":"301228","type":"CDM"},{"code":"637","type":"RC"},{"code":"37891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Nitro Patch 0.2mg/hr","code_information":[{"code":"301225","type":"CDM"},{"code":"637","type":"RC"},{"code":"37891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Rosuvastatin Tab 10mg","code_information":[{"code":"312063","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687024511","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Saccharomyces Boulardii Cap 250mg","code_information":[{"code":"311245","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Sodium Chloride 0.9% Inh Soln. 15ml","code_information":[{"code":"306535","type":"CDM"},{"code":"250","type":"RC"},{"code":"37869","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Terazosin Cap 1mg","code_information":[{"code":"302964","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268076415","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Terazosin Cap 5mg","code_information":[{"code":"302215","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268076615","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Vancomycin Oral Syringe 125mg/2.5ml","code_information":[{"code":"304412","type":"CDM"},{"code":"637","type":"RC"},{"code":"67457034000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Dext. 10% 1000 Ml","code_information":[{"code":"47027","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47027","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Iv Set Transfer Secondary","code_information":[{"code":"47045","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Ster. Water Inj. 1000 Ml","code_information":[{"code":"47066","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Orphenadrine Er(norflex)tab: 100 Mg*","code_information":[{"code":"301241","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Estrogens(menest)tab: 0.625 Mg","code_information":[{"code":"301429","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Perphenazine(trilafon) Tab: 4 Mg","code_information":[{"code":"301793","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301793","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Amantadine 100mg","code_information":[{"code":"302500","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302500","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Tab Er 15mg","code_information":[{"code":"302917","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302917","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Amoxicillin/clav Tab 875mg","code_information":[{"code":"303010","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303010","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pioglitazone(actos) Tab: 15 Mg","code_information":[{"code":"304040","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304040","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Verapamil Sr Cap(calan):120 Mg","code_information":[{"code":"304066","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304066","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lorazepam Oral Concentrate 2mg/ml 30ml","code_information":[{"code":"304801","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304801","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Sulfameth/tmp Oral Susp 800mg/160mg/20ml","code_information":[{"code":"312234","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312234","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Metformin Xl (Glucophage Xl)tab:500 Mg","code_information":[{"code":"303953","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303953","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Admin Medicare Flu Vaccine","code_information":[{"code":"CP17585600566590250","type":"CDM"},{"code":"521","type":"RC"},{"code":"G0008","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Flouride Varnish","code_information":[{"code":"CP17585600566636803","type":"CDM"},{"code":"512","type":"RC"},{"code":"99188","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Screening Test, Pure Tone, Air Only","code_information":[{"code":"CP17585600566710019","type":"CDM"},{"code":"521","type":"RC"},{"code":"92551","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":24,"gross_charge":26,"discounted_cash":20,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":24},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Admin Immun-1st Comp Up To 18yrs","code_information":[{"code":"CP17585600566599615","type":"CDM"},{"code":"521","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Allergen Specific Ige","code_information":[{"code":"758728","type":"CDM"},{"code":"300","type":"RC"},{"code":"86008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":".Qnt Or Semiqnt Recombinant Or Purified","code_information":[{"code":"758785","type":"CDM"},{"code":"300","type":"RC"},{"code":"86008","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Mask Aerosoladult","code_information":[{"code":"60130","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60130","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Zz Valproic Acid Oral Liquid 250mg/5ml","code_information":[{"code":"304242","type":"CDM"},{"code":"259","type":"RC"},{"code":"CP304242","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cervical Collar Stifneck Rigid Adult","code_information":[{"code":"52891","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52891","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":23,"gross_charge":25,"discounted_cash":19,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":23},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Acetaminophen /Codeine Tab 300mg/30mg","code_information":[{"code":"301819","type":"CDM"},{"code":"637","type":"RC"},{"code":"40604","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Acyclovir Cap 200mg","code_information":[{"code":"302583","type":"CDM"},{"code":"637","type":"RC"},{"code":"90457","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Albuterol Inh Neb Soln. 2.5mg/3ml Ud","code_information":[{"code":"304054","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687039579","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Alendronate Tab 70mg","code_information":[{"code":"303601","type":"CDM"},{"code":"637","type":"RC"},{"code":"69097022416","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":70,"type":"ME"}},{"description":"Allopurinol Tab 100mg","code_information":[{"code":"301984","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Amiodarone Tab 200mg","code_information":[{"code":"302103","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687043711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Amitriptyline Tab 25mg","code_information":[{"code":"300062","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268003811","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Amoxicillin/clav Tab 500mg","code_information":[{"code":"300163","type":"CDM"},{"code":"637","type":"RC"},{"code":"42571016142","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Aripiprazole Tab 10mg","code_information":[{"code":"306398","type":"CDM"},{"code":"637","type":"RC"},{"code":"65162089803","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Atenolol Tab 25mg","code_information":[{"code":"303620","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Atorvastatin Tab 10mg","code_information":[{"code":"306144","type":"CDM"},{"code":"637","type":"RC"},{"code":"90462","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Atorvastatin Tab 40mg","code_information":[{"code":"304406","type":"CDM"},{"code":"637","type":"RC"},{"code":"90462","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Baclofen Tab 10mg","code_information":[{"code":"308119","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268010615","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Benzonatate Cap 100mg","code_information":[{"code":"301708","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Benztropine Tab 0.5mg","code_information":[{"code":"305420","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Carbidopa/levodopa Tab 25mg/100mg","code_information":[{"code":"301584","type":"CDM"},{"code":"637","type":"RC"},{"code":"90475","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Cephalexin Cap 250mg","code_information":[{"code":"300879","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687015211","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Cilostazol Tab 100mg","code_information":[{"code":"303605","type":"CDM"},{"code":"637","type":"RC"},{"code":"60505252201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Ciprofloxacin Tab 250mg","code_information":[{"code":"300355","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862007601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Clindamycin  Cap 150mg","code_information":[{"code":"302091","type":"CDM"},{"code":"637","type":"RC"},{"code":"90459","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Clonazepam Tab 0.5mg","code_information":[{"code":"300892","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Clonazepam Tab 1mg","code_information":[{"code":"303119","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687087201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Clonidine Tab 0.1mg","code_information":[{"code":"300299","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Clopidogrel Tab 75mg","code_information":[{"code":"303373","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084053611","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Dicyclomine Cap 10mg","code_information":[{"code":"300202","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Digoxin  Tab 0.125mg","code_information":[{"code":"300910","type":"CDM"},{"code":"637","type":"RC"},{"code":"90459","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Diltiazem Cd Cap 120mg","code_information":[{"code":"300276","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Diltiazem Cd Cap 180mg","code_information":[{"code":"300272","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":180,"type":"ME"}},{"description":"Divalproex Dr Tab 250mg","code_information":[{"code":"300484","type":"CDM"},{"code":"637","type":"RC"},{"code":"83271","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Dofetilide Cap 125mcg","code_information":[{"code":"312847","type":"CDM"},{"code":"637","type":"RC"},{"code":"72205003960","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Doxycycline  Cap 50mg","code_information":[{"code":"304407","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268028011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Escitalopram Tab 10mg","code_information":[{"code":"304113","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084061711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Escitalopram Tab 10mg","code_information":[{"code":"312059","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Ethyl Chloride Topical Spray 105gm","code_information":[{"code":"303052","type":"CDM"},{"code":"637","type":"RC"},{"code":"38600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fluorescein Strip 1mg","code_information":[{"code":"300689","type":"CDM"},{"code":"637","type":"RC"},{"code":"17238090011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Folic Acid Tab 1mg","code_information":[{"code":"300693","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687068111","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Gabapentin Tab 800mg","code_information":[{"code":"311427","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Glipizide  Tab 5mg","code_information":[{"code":"300718","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Hydralazine Tab 50mg","code_information":[{"code":"304400","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079007620","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Hydrochlorothiazide Tab 25mg","code_information":[{"code":"300773","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155000801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Hydrocodone/apap Tab 5mg-325mg","code_information":[{"code":"304312","type":"CDM"},{"code":"637","type":"RC"},{"code":"40601","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Hydromorphone  Tab 2mg","code_information":[{"code":"300554","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687057901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Hydroxyzine Tab 25mg","code_information":[{"code":"300141","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Isosorbide Mononitrate Tab 30mg","code_information":[{"code":"303048","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Labetalol  Tab 100mg","code_information":[{"code":"301248","type":"CDM"},{"code":"637","type":"RC"},{"code":"70377006012","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lactulose Oral Soln. 20gm/30ml Ud","code_information":[{"code":"300328","type":"CDM"},{"code":"637","type":"RC"},{"code":"11640","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Lamotrigine Tab 100mg","code_information":[{"code":"303907","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Levofloxacin  Tab 250mg","code_information":[{"code":"303511","type":"CDM"},{"code":"637","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Levofloxacin  Tab 750mg","code_information":[{"code":"306018","type":"CDM"},{"code":"259","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":750,"type":"ME"}},{"description":"Levothyroxine Tab  25mcg","code_information":[{"code":"302781","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levothyroxine Tab  75mcg","code_information":[{"code":"301667","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687047511","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Levothyroxine Tab 100mcg","code_information":[{"code":"301668","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Lorazepam  Tab 1mg","code_information":[{"code":"311410","type":"CDM"},{"code":"637","type":"RC"},{"code":"69315090501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Losartan Tab 25mg","code_information":[{"code":"303057","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268050411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Losartan Tab 50mg","code_information":[{"code":"302961","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Medroxyprogesterone Tab: 2.5 Mg","code_information":[{"code":"301485","type":"CDM"},{"code":"637","type":"RC"},{"code":"59762374005","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Memantine Tab 5mg","code_information":[{"code":"304266","type":"CDM"},{"code":"637","type":"RC"},{"code":"59138","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Methadone Tab 10mg","code_information":[{"code":"304074","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Methadone Tab Dispersable 40mg","code_information":[{"code":"304050-82","type":"CDM"},{"code":"637","type":"RC"},{"code":"54453","type":"CPT","modifier":"82"}],"standard_charges":[{"setting":"outpatient","modifier_code":["82"],"minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Methocarbamol Tab 500mg","code_information":[{"code":"303062","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Methylprednisolone   Tab  4mg","code_information":[{"code":"302456","type":"CDM"},{"code":"637","type":"RC"},{"code":"59746000103","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Metoprolol Succinate Er Tab  25mg","code_information":[{"code":"309242","type":"CDM"},{"code":"637","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Mirtazapine Tab 15mg","code_information":[{"code":"303537","type":"CDM"},{"code":"637","type":"RC"},{"code":"90465","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Montelukast Tab 10mg","code_information":[{"code":"303948","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Morphine Tab Ir 15mg","code_information":[{"code":"303429-52","type":"CDM"},{"code":"637","type":"RC"},{"code":"54023","type":"CPT","modifier":"52"}],"standard_charges":[{"setting":"outpatient","modifier_code":["52"],"minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Naproxen Tab 250mg","code_information":[{"code":"301173","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268059415","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Nifedipine  Cap 10mg","code_information":[{"code":"301451","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155019401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Nifedipine Er Tab 30mg","code_information":[{"code":"301454","type":"CDM"},{"code":"637","type":"RC"},{"code":"59651029501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Nitro Patch 0.4mg/hr","code_information":[{"code":"301227","type":"CDM"},{"code":"637","type":"RC"},{"code":"37891","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Nitroglycerin Sl Tab 0.4mg (Er Use)","code_information":[{"code":"304196","type":"CDM"},{"code":"637","type":"RC"},{"code":"70756001405","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Olanzapine Tab 5mg","code_information":[{"code":"303191","type":"CDM"},{"code":"637","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Ondansetron  Odt Tab 4mg","code_information":[{"code":"304221","type":"CDM"},{"code":"636","type":"RC"},{"code":"68462015740","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Oxybutynin Tab 5mg","code_information":[{"code":"300566","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Oxycodone  Immediate Release Tab  5mg","code_information":[{"code":"302619","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Oxycodone/apap Tab 5mg/325mg","code_information":[{"code":"303092","type":"CDM"},{"code":"637","type":"RC"},{"code":"40605","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Pantoprazole Tab 40mg","code_information":[{"code":"303833","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268063915","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Paroxetine Tab 20mg","code_information":[{"code":"302002","type":"CDM"},{"code":"637","type":"RC"},{"code":"90456","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Phenytoin  Er Cap 100mg","code_information":[{"code":"300530","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672411101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Phosphate Tablet 250mg (8mmol)","code_information":[{"code":"312016","type":"CDM"},{"code":"637","type":"RC"},{"code":"64980010401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Potassium Chloride  Sa Tab 10meq","code_information":[{"code":"300876","type":"CDM"},{"code":"637","type":"RC"},{"code":"83253","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Potassium Chloride  Sa Tab 20meq","code_information":[{"code":"300877","type":"CDM"},{"code":"637","type":"RC"},{"code":"24553","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Prazosin Cap 1mg","code_information":[{"code":"302310","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Prednisolone Oral Syringe 15mg/5ml","code_information":[{"code":"304068","type":"CDM"},{"code":"637","type":"RC"},{"code":"12107","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":15,"type":"ME"}},{"description":"Prednisone Tab  5mg","code_information":[{"code":"307055","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687012211","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Prednisone Tab 20mg","code_information":[{"code":"301416","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687014501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Pregabalin Cap 50mg","code_information":[{"code":"319999","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Pregabalin Cap 75mg","code_information":[{"code":"304398","type":"CDM"},{"code":"637","type":"RC"},{"code":"90470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":75,"type":"ME"}},{"description":"Promethazine  Tab 25mg","code_information":[{"code":"301363","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Propranolol  Tab 10mg","code_information":[{"code":"300804","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687058701","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Quetiapine Tab  25mg","code_information":[{"code":"304061","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Risperidone Tab 0.25mg","code_information":[{"code":"304240","type":"CDM"},{"code":"259","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Risperidone Tab 1mg","code_information":[{"code":"302863","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Ropinirole Tab 0.25mg","code_information":[{"code":"304368","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268074115","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Ropinirole Tab 1mg","code_information":[{"code":"303226","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268074311","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Saline Respiratory Inh Soln. 3ml","code_information":[{"code":"303459","type":"CDM"},{"code":"250","type":"RC"},{"code":"70756066199","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":3,"type":"ML"}},{"description":"Sertraline Tab 50mg","code_information":[{"code":"301974","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Sodium Bicarbonate Tab 650mg","code_information":[{"code":"303309","type":"CDM"},{"code":"259","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":650,"type":"ME"}},{"description":"Sucralfate Tab 1gm","code_information":[{"code":"300273","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079075301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Sulfameth/trimeth Ds Tab 800mg/160mg","code_information":[{"code":"301647","type":"CDM"},{"code":"637","type":"RC"},{"code":"90427","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":800,"type":"ME"}},{"description":"Tamsulosin Cap 0.4mg","code_information":[{"code":"303224","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268074011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Topiramate Tab 50mg","code_information":[{"code":"306368","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084034301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Torsemide Tab 20mg","code_information":[{"code":"303921","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Tramadol Tab 50mg","code_information":[{"code":"302974","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687079501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Venlafaxine Tab 37.5mg","code_information":[{"code":"302837","type":"CDM"},{"code":"637","type":"RC"},{"code":"68084084411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Venlafaxine Xr Cap  37.5mg","code_information":[{"code":"304215","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862052730","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":375,"type":"ME"}},{"description":"Venlafaxine Xr Cap 150mg","code_information":[{"code":"304307","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268087515","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Warfarin Tab 1mg","code_information":[{"code":"304031","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"ME"}},{"description":"Warfarin Tab 2.5mg","code_information":[{"code":"300416","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Warfarin Tab 3mg","code_information":[{"code":"305742","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Warfarin Tab 4mg","code_information":[{"code":"305975","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Warfarin Tab 5mg","code_information":[{"code":"300418","type":"CDM"},{"code":"637","type":"RC"},{"code":"83212","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Hydralazine(apresoline) Tab: 25 Mg*","code_information":[{"code":"300109","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300109","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Verapamil Sr Tab(calan):240 Mg","code_information":[{"code":"300261","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300261","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diltiazem Cd(cardizem Cd) Cap: 240 Mg","code_information":[{"code":"300277","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300277","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Valproic Acid(depakene) Cap: 250 Mg","code_information":[{"code":"300482","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300482","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Gemfibrozil Tab 600mg","code_information":[{"code":"300968","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300968","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lovastatin(mevacor) Tab:20 Mg-","code_information":[{"code":"301053","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301053","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Oral Sol'n 5mg/2.5ml","code_information":[{"code":"301105","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301105","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phosphate Oral (Pot/sod)  Pwd Pkt","code_information":[{"code":"301211","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301211","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Tamoxifen(nolvadex) Tab: 10 Mg-","code_information":[{"code":"301240","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301240","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Dipyridamole(persantine)tab: 25 Mg","code_information":[{"code":"301356","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301356","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Promethazine(phenergan) Supp:12.5 Mg*","code_information":[{"code":"301362","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301362","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Methimazole Tab 5mg","code_information":[{"code":"301687","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301687","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Imipramine Tab: 25 Mg","code_information":[{"code":"301757","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301757","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydroxyzine Tab: 10 Mg","code_information":[{"code":"302030","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302030","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Terazosin(hytrin)cap: 2 Mg *","code_information":[{"code":"302214","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302214","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ursodiol(actigall) Cap: 300 Mg","code_information":[{"code":"302861","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302861","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ondansetron(zofran) Tab: 4 Mg","code_information":[{"code":"303108","type":"CDM"},{"code":"259","type":"RC"},{"code":"S0119","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Morphine Tab Ir 15mg","code_information":[{"code":"303429","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303429","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quetiapine Tab 100mg","code_information":[{"code":"304038","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304038","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Methadone Tab Dispersable 40mg","code_information":[{"code":"304050","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levetiracetam Tab 500mg","code_information":[{"code":"304075","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304075","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cyproheptadine (Periactin) 4mg Tab","code_information":[{"code":"304140","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304140","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Erythromycin Er Tablet: 250 Mg","code_information":[{"code":"304224","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304224","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Torsemide(demadex)tab:100mg","code_information":[{"code":"304275","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304275","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Levothyroxine Tab: 150 Mcg","code_information":[{"code":"304303","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304303","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Methocarbamol(robaxin) Tab: 750 Mg","code_information":[{"code":"304304","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304304","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lamotrigine(lamictal) Tab:200 Mg","code_information":[{"code":"304380","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304380","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ipratropium 0.02% Neb 0.5mg/2.5ml","code_information":[{"code":"312343","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687039483","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Admin Immun Nas/oral","code_information":[{"code":"CP17585600566598927","type":"CDM"},{"code":"771","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Admin Of Covid Vaccines","code_information":[{"code":"CP17585600566591063","type":"CDM"},{"code":"521","type":"RC"},{"code":"90480","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Ea Addtl Comp/any Route Up To 18 Yrs","code_information":[{"code":"CP17585600566610331","type":"CDM"},{"code":"521","type":"RC"},{"code":"90461","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Simethicone Drops 1000mg/15ml Bottle","code_information":[{"code":"312199","type":"CDM"},{"code":"637","type":"RC"},{"code":"62372063015","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Diltiazem(cardizem) Tab: 60 Mg","code_information":[{"code":"300283","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300283","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Doxazosin(cardura) Tab: 4 Mg","code_information":[{"code":"300294","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300294","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Triazolam Tab: 0.25mg Do Not Stock","code_information":[{"code":"300737","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300737","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Digoxin Tab: 0.25 Mg","code_information":[{"code":"300911","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300911","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Chlordiazepoxide/clidinium(librax)cap","code_information":[{"code":"300943","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300943","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Methadone Hcl Tab 5mg Do Not Stock","code_information":[{"code":"301045","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301045","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Thiothixene (Navane)cap: 5 Mg-","code_information":[{"code":"301188","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301188","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Methazolamide(neptazine)tab:50 Mg","code_information":[{"code":"301208","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301208","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pancreatic Enzymes(pancrease)cap:mt-4","code_information":[{"code":"301307","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301307","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinine Sulfate Tab: 260 Mg*","code_information":[{"code":"301503","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301503","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Oxazepam (Serax) Cap: 10 Mg*","code_information":[{"code":"301576","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301576","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trifluoperazine(stelazine)tab: 5 Mg-","code_information":[{"code":"301629","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301629","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Clorazepate(tranxene) Tab: 3.75 Mg","code_information":[{"code":"301775","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301775","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Hydrocodone/apap(vicodin Es)7.5/500mg","code_information":[{"code":"303073","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303073","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Quinine Sulfate Tab: 325 Mg*","code_information":[{"code":"303206","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303206","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Syringe Ear 3 Oz","code_information":[{"code":"49092","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49092","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cath Adapter Disposable","code_information":[{"code":"49199","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49199","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Syringe Irr. Two Piece Asepto Bulb","code_information":[{"code":"49386","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49386","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cord Clamp","code_information":[{"code":"49414","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49414","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cast Padding Cotton 3 X4yd","code_information":[{"code":"49421","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49421","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Electrosurg Tip Cleaner","code_information":[{"code":"49538","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49538","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Tube Feeding Infant 5fr 36       (B4082)","code_information":[{"code":"49620","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49620","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Splint Aluma-foam Finger 1/2 X9","code_information":[{"code":"49708","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Nutr Two Cal Hn 8oz              (B4152)","code_information":[{"code":"49728","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49728","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Nutr Glucerna 1.0 240ml (Diabetes)***","code_information":[{"code":"49840","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49840","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Nutr Jevity 1.2 Cal 8oz          (B4150)","code_information":[{"code":"50203","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50203","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Urostomy Adapter Ring 1-3/4  Flange","code_information":[{"code":"52054","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52054","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Tubing Suction 6mm X   6' Sterile","code_information":[{"code":"52076","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52076","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Hot Pack Instant 6 X9","code_information":[{"code":"52088","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Nutr Glucerna 1.5 240ml (Diabetes)","code_information":[{"code":"52237","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52237","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Cautery   Tip Cleaner","code_information":[{"code":"53131","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP53131","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Suture Retriever","code_information":[{"code":"53198","type":"CDM"},{"code":"270","type":"RC"},{"code":"A4570","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":22,"gross_charge":24,"discounted_cash":18,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":22},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":11}]}]},{"description":"Ipratropium/albuterol Neb 0.5mg/3mg","code_information":[{"code":"305396","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687040583","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Lisinopril Tab  5mg","code_information":[{"code":"301962","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Metoprolol Succinate Er Tab 100mg","code_information":[{"code":"303184","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268054211","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Bandage Elastic 2  Ace Lf","code_information":[{"code":"49008","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49008","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Suction Cath W/glove 14fr","code_information":[{"code":"49119","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49119","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Suction Cath W/glove 18fr","code_information":[{"code":"49120","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49120","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Dress Adaptic 3x3 Non-adhering","code_information":[{"code":"49165","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49165","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Nutr Nutren 1.0 250ml            (B4150)","code_information":[{"code":"49495","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49495","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tube Feeding Infant 5fr 15       (B4082)","code_information":[{"code":"49619","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49619","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tube Feeding Infant 8fr 16       (B4082)","code_information":[{"code":"49621","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49621","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tube Penrose Drain 1/4 X 12      *Latex*","code_information":[{"code":"49624","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49624","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tube Penrose Drain 1/2 X 12      *Latex*","code_information":[{"code":"49626","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49626","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Tube Penrose Drain 3/4 X 18      *Latex*","code_information":[{"code":"49628","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49628","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Nutr Ensure Plus 8oz             (B4152)","code_information":[{"code":"49651","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49651","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Nutr Pulmocare 8oz (Respiratory) (B4154)","code_information":[{"code":"49754","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49754","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Nutr Ensure Hi Protein 8oz       (B4150)","code_information":[{"code":"50297","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50297","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Admin Immunization-first","code_information":[{"code":"CP17585600566590903","type":"CDM"},{"code":"771","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":21,"gross_charge":23,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":21},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Fioricet(butalbital/tyl/caffeine): Tab","code_information":[{"code":"302873","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302873","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":20,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Professional Services For Allergen Immunotherapy 2 Or More","code_information":[{"code":"CP17585600566710746","type":"CDM"},{"code":"521","type":"RC"},{"code":"95117","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":20,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Urine Pregnancy Test, Visual Color Compa","code_information":[{"code":"CP17585600566724964","type":"CDM"},{"code":"521","type":"RC"},{"code":"81025","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":5,"maximum":20,"gross_charge":22,"discounted_cash":17,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":20},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":10}]}]},{"description":"Gen Anes Gasses","code_information":[{"code":"19005","type":"CDM"},{"code":"370","type":"RC"},{"code":"CP19005","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":".Allergen Specific Ige","code_information":[{"code":"758839","type":"CDM"},{"code":"300","type":"RC"},{"code":"86003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Dext. 5% & Nacl 0.2% 1000 Ml","code_information":[{"code":"47020","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47020","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Dext. 5% & Nacl 0.33% 1000 Ml","code_information":[{"code":"47025","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47025","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Heparin Flush  5ml/12ml Syringe","code_information":[{"code":"47083","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Sod.chl. 0.45% & 20 Meq Kcl 1000 Ml","code_information":[{"code":"47088","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47088","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Dext. 5% & Nacl 0.33%  500 Ml","code_information":[{"code":"47112","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47112","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":19,"gross_charge":21,"discounted_cash":16,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":19},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}]},{"description":"Diaper Rash Oint(desitin):120 Gm","code_information":[{"code":"300496","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300496","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":18,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Bag Balm : 30gm Oint","code_information":[{"code":"302825","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302825","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":18,"gross_charge":20,"discounted_cash":15,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":18},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":9}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Collection Of Venous Blood By Venipuncture","code_information":[{"code":"CP17585600566601909","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Ea Addtl Immun Nas/oral","code_information":[{"code":"CP17585600566619065","type":"CDM"},{"code":"771","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Ea Addtl Immunization","code_information":[{"code":"CP17585600566612359","type":"CDM"},{"code":"771","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Professional Svc, Allergen Immunotherapy","code_information":[{"code":"CP17585600566719763","type":"CDM"},{"code":"521","type":"RC"},{"code":"95115","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Collection Of Venous Blood By Venipuncture","code_information":[{"code":"CP17585603283918082","type":"CDM"},{"code":"510","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":".Venipuncture","code_information":[{"code":"35266","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Coll Of Venous Bld By Venipuncture","code_information":[{"code":"65365","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Collection Of Capillary Blood Specimen","code_information":[{"code":"65366","type":"CDM"},{"code":"450","type":"RC"},{"code":"36416","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Noninv Ear/pulse Oximtry For Oxy Sat Sin","code_information":[{"code":"65408","type":"CDM"},{"code":"410","type":"RC"},{"code":"94760","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Va Specimen Processing","code_information":[{"code":"350054","type":"CDM"},{"code":"300","type":"RC"},{"code":"36415","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":17,"gross_charge":19,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":17},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}]},{"description":"Loperamide(imodium)liq:1 Mg/5ml","code_information":[{"code":"300798","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300798","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":18,"discounted_cash":14,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":8}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Aspirin Suppository 300mg","code_information":[{"code":"300134","type":"CDM"},{"code":"637","type":"RC"},{"code":"57470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Carbamide Peroxide 6.5% Otic Soln. 15ml","code_information":[{"code":"300463","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":15,"type":"ML"}},{"description":"Chloraseptic Throat Spray 180ml Bottle","code_information":[{"code":"300338","type":"CDM"},{"code":"637","type":"RC"},{"code":"78112001104","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":180,"type":"ML"}},{"description":"Dextrose Gel 40% 37.5gm Tube","code_information":[{"code":"300722","type":"CDM"},{"code":"637","type":"RC"},{"code":"57400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Diphenhydramine Oral 12.5mg/5ml 118ml","code_information":[{"code":"312759","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Diphenhydramine Oral Susp. 12.5mg/5ml Ud","code_information":[{"code":"304107","type":"CDM"},{"code":"637","type":"RC"},{"code":"12108","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":125,"type":"ME"}},{"description":"Glycerin Suppository 1gm Jar Pediatric","code_information":[{"code":"303464","type":"CDM"},{"code":"637","type":"RC"},{"code":"58980040912","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Glycerin Suppository 2gm Jar Adult","code_information":[{"code":"300726","type":"CDM"},{"code":"637","type":"RC"},{"code":"70000057201","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Guaifen/dextrometh 200mg/20mg/20ml 118ml","code_information":[{"code":"312855","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Guaifenesin  Oral Soln. 200mg/10ml 118ml","code_information":[{"code":"312760","type":"CDM"},{"code":"637","type":"RC"},{"code":"53614","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Magnesium Citrate Oral Soln. 296ml","code_information":[{"code":"300359","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":296,"type":"ML"}},{"description":"Magnesium Hydroxide Oral Susp. 30ml Ud","code_information":[{"code":"301082","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237031431","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Magnesium/aluminum/simethicone Susp 30ml","code_information":[{"code":"301149","type":"CDM"},{"code":"637","type":"RC"},{"code":"12117","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Neomycin/bacitracin/poly Oint 28gm Tube","code_information":[{"code":"311538","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802014303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Nicotine Patch  7mg","code_information":[{"code":"302209","type":"CDM"},{"code":"637","type":"RC"},{"code":"70000051001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":7,"type":"ME"}},{"description":"Nicotine Patch 14mg","code_information":[{"code":"301216","type":"CDM"},{"code":"637","type":"RC"},{"code":"53611","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":14,"type":"ME"}},{"description":"Nicotine Patch 21mg","code_information":[{"code":"301215","type":"CDM"},{"code":"637","type":"RC"},{"code":"53658","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":21,"type":"ME"}},{"description":"Oxymetazoline 0.05% Nasal Spray 30ml","code_information":[{"code":"309964","type":"CDM"},{"code":"637","type":"RC"},{"code":"90474","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Polyethylene Glycol 17gm Packet","code_information":[{"code":"304071","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Polyethylene Glycol 238gm Bottle","code_information":[{"code":"304445","type":"CDM"},{"code":"637","type":"RC"},{"code":"53610","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Saliva Substitute 120ml","code_information":[{"code":"304205-95","type":"CDM"},{"code":"637","type":"RC"},{"code":"54376","type":"CPT","modifier":"95"}],"standard_charges":[{"setting":"outpatient","modifier_code":["95"],"minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":120,"type":"ML"}},{"description":"Sucrose 24% Oral Soln. 2ml","code_information":[{"code":"305366","type":"CDM"},{"code":"637","type":"RC"},{"code":"89805063745","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":2,"type":"ML"}},{"description":"Vitamin B-1 (Thiamine) Tab 100mg","code_information":[{"code":"301732","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Lacrilube Ointment 3.5gm","code_information":[{"code":"300903","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300903","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Phospho-soda(oral Laxitive):45 Ml*","code_information":[{"code":"302971","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302971","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ibuprofen Oral Susp:100 Mg/5ml 120ml","code_information":[{"code":"303132","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303132","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Saliva Substitute 120ml","code_information":[{"code":"304205","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304205","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Artificial Tears 0.9ml Ud","code_information":[{"code":"304241","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304241","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppsodium Chloride 0.9% Wound Wash","code_information":[{"code":"312374","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312374","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Guaifenesin Dm 200mg/20mg Oral Soln 10ml","code_information":[{"code":"312491","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP312491","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":".Tox Alcohol(s)","code_information":[{"code":"758679","type":"CDM"},{"code":"300","type":"RC"},{"code":"80320","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Alcohol Biomarkers 1 Or 2","code_information":[{"code":"758680","type":"CDM"},{"code":"300","type":"RC"},{"code":"80321","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Alkaloids Not Otherwise Specified","code_information":[{"code":"758681","type":"CDM"},{"code":"300","type":"RC"},{"code":"80323","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Amphetamines 5 Or More","code_information":[{"code":"758682","type":"CDM"},{"code":"300","type":"RC"},{"code":"80326","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Analgesics Non-opioid 3-5","code_information":[{"code":"758683","type":"CDM"},{"code":"300","type":"RC"},{"code":"80330","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Antidepressants Serotonergic Class","code_information":[{"code":"758684","type":"CDM"},{"code":"300","type":"RC"},{"code":"80333","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Antidepressants Tricyclic And Other","code_information":[{"code":"758685","type":"CDM"},{"code":"300","type":"RC"},{"code":"80337","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Antidepressants Not Otherwise Speci","code_information":[{"code":"758686","type":"CDM"},{"code":"300","type":"RC"},{"code":"80338","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Antiepiletics 4-6","code_information":[{"code":"758687","type":"CDM"},{"code":"300","type":"RC"},{"code":"80340","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Antipyschotics 7 Or More","code_information":[{"code":"758688","type":"CDM"},{"code":"300","type":"RC"},{"code":"80344","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Barbiturates","code_information":[{"code":"758689","type":"CDM"},{"code":"300","type":"RC"},{"code":"80345","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Benzodiazepines 1-12","code_information":[{"code":"758690","type":"CDM"},{"code":"300","type":"RC"},{"code":"80346","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Buprenorphine","code_information":[{"code":"758691","type":"CDM"},{"code":"300","type":"RC"},{"code":"80348","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Cannabinoids Natural","code_information":[{"code":"758692","type":"CDM"},{"code":"300","type":"RC"},{"code":"80349","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Cocaine","code_information":[{"code":"758693","type":"CDM"},{"code":"300","type":"RC"},{"code":"80353","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Fentanyls","code_information":[{"code":"758694","type":"CDM"},{"code":"300","type":"RC"},{"code":"80354","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Gabapentin Non-blood","code_information":[{"code":"758695","type":"CDM"},{"code":"300","type":"RC"},{"code":"80355","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Heroin Metabolite","code_information":[{"code":"758696","type":"CDM"},{"code":"300","type":"RC"},{"code":"80356","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Ketamine And Norketamine","code_information":[{"code":"758697","type":"CDM"},{"code":"300","type":"RC"},{"code":"80357","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Methadone","code_information":[{"code":"758698","type":"CDM"},{"code":"300","type":"RC"},{"code":"80358","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Methylenedioxyamphetamines","code_information":[{"code":"758699","type":"CDM"},{"code":"300","type":"RC"},{"code":"80359","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Methylphenidate","code_information":[{"code":"758700","type":"CDM"},{"code":"300","type":"RC"},{"code":"80360","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Opiates 1 Or More","code_information":[{"code":"758701","type":"CDM"},{"code":"300","type":"RC"},{"code":"80361","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Opiods And Opiate Analogs 5 Or More","code_information":[{"code":"758702","type":"CDM"},{"code":"300","type":"RC"},{"code":"80364","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Oxycodone","code_information":[{"code":"758703","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Pregabalin","code_information":[{"code":"758704","type":"CDM"},{"code":"300","type":"RC"},{"code":"80366","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Propoxyphene","code_information":[{"code":"758705","type":"CDM"},{"code":"300","type":"RC"},{"code":"80367","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Sedative Hypnotics","code_information":[{"code":"758706","type":"CDM"},{"code":"300","type":"RC"},{"code":"80368","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Skeletal Muscle Relaxants 3 Or More","code_information":[{"code":"758707","type":"CDM"},{"code":"300","type":"RC"},{"code":"80370","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Tapentadol","code_information":[{"code":"758708","type":"CDM"},{"code":"300","type":"RC"},{"code":"80372","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Tramadol","code_information":[{"code":"758709","type":"CDM"},{"code":"300","type":"RC"},{"code":"80373","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Drug Nos Definitive 7 Or More","code_information":[{"code":"758710","type":"CDM"},{"code":"300","type":"RC"},{"code":"80377","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Assay Of Phencyclidine (Pcp)","code_information":[{"code":"758711","type":"CDM"},{"code":"300","type":"RC"},{"code":"80365","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox 4-6","code_information":[{"code":"758815","type":"CDM"},{"code":"300","type":"RC"},{"code":"80376","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Phencyclidine","code_information":[{"code":"758816","type":"CDM"},{"code":"300","type":"RC"},{"code":"83992","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Amphetamines 3 Or 4","code_information":[{"code":"758818","type":"CDM"},{"code":"300","type":"RC"},{"code":"80325","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":".Tox Opioids 3 Or 4","code_information":[{"code":"758819","type":"CDM"},{"code":"300","type":"RC"},{"code":"80363","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Skin Test; Tuberculosis, Intradermal","code_information":[{"code":"CP17585600566717433","type":"CDM"},{"code":"521","type":"RC"},{"code":"86580","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":4,"maximum":16,"gross_charge":17,"discounted_cash":13,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":16},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Adapter-trach T Piece","code_information":[{"code":"60050","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60050","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":15,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Connector Coragated Tubing One End Taper","code_information":[{"code":"60127","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP60127","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":15,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Saline Flush  3ml/6ml Syringe","code_information":[{"code":"47096","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47096","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":15,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Saline Flush 10ml/12ml Syringe","code_information":[{"code":"47097","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47097","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":15,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Insulin Nph Human 100u/ml","code_information":[{"code":"300818","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300818","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":15,"gross_charge":16,"discounted_cash":12,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":15},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Smear, Primary Source, W/ Interpret; Wet","code_information":[{"code":"CP17585600566714924","type":"CDM"},{"code":"521","type":"RC"},{"code":"87210","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":14,"gross_charge":15,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":14},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":7}]}]},{"description":"Assay Of Glucose; Quantitative","code_information":[{"code":"CP17585600566599035","type":"CDM"},{"code":"521","type":"RC"},{"code":"82947","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Influenza Virus Vaccine, Split, 6-35 Mon","code_information":[{"code":"CP17585600566674908","type":"CDM"},{"code":"521","type":"RC"},{"code":"90657","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Alprazolam Tab 0.5mg","code_information":[{"code":"301926","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687038801","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Amlodipine Tab 5mg","code_information":[{"code":"302621","type":"CDM"},{"code":"637","type":"RC"},{"code":"90463","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Amoxicillin Cap 250mg","code_information":[{"code":"300068","type":"CDM"},{"code":"637","type":"RC"},{"code":"78120","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Atenolol Tab 50mg","code_information":[{"code":"301702","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079068401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Bisacodyl  Tab 5mg","code_information":[{"code":"300602","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Buspirone Tab  5mg","code_information":[{"code":"300251","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079098501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Calcium Carbonate(oyst Cal)tab:500 Mg","code_information":[{"code":"301296","type":"CDM"},{"code":"637","type":"RC"},{"code":"18244","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Carvedilol Tab  6.25mg","code_information":[{"code":"303174","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":625,"type":"ME"}},{"description":"Carvedilol Tab 25mg","code_information":[{"code":"304392","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Citalopram Tab 20mg","code_information":[{"code":"303402","type":"CDM"},{"code":"637","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Cyclobenzaprine Tab 10mg","code_information":[{"code":"300684","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687055811","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Diazepam  Tab 2mg","code_information":[{"code":"301845","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079028401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Diazepam  Tab 5mg","code_information":[{"code":"301846","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079028501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Diltiazem  Tab 30mg","code_information":[{"code":"300282","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687071711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Donepezil Tab 5mg","code_information":[{"code":"303792","type":"CDM"},{"code":"637","type":"RC"},{"code":"90464","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Finasteride Tab 5mg","code_information":[{"code":"302622","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Fluoxetine Cap 10mg","code_information":[{"code":"303790","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Fluoxetine Cap 20mg","code_information":[{"code":"301489","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Furosemide  Tab 20mg","code_information":[{"code":"300918","type":"CDM"},{"code":"637","type":"RC"},{"code":"43547040110","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Furosemide  Tab 40mg","code_information":[{"code":"309070","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":40,"type":"ME"}},{"description":"Gabapentin Cap 100mg","code_information":[{"code":"303383","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Gabapentin Cap 300mg","code_information":[{"code":"303468","type":"CDM"},{"code":"637","type":"RC"},{"code":"90466","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":300,"type":"ME"}},{"description":"Hydralazine Tab 10mg","code_information":[{"code":"300107","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079007420","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Indomethacin Cap 25mg","code_information":[{"code":"300813","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268043011","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Iron Polysaccharide Cap 150mg","code_information":[{"code":"303166","type":"CDM"},{"code":"637","type":"RC"},{"code":"90453","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Lisinopril Tab 20mg","code_information":[{"code":"302637","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Lithium Carbonate Cap 150mg","code_information":[{"code":"304153-62","type":"CDM"},{"code":"637","type":"RC"},{"code":"54852","type":"CPT","modifier":"62"}],"standard_charges":[{"setting":"outpatient","modifier_code":["62"],"minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":150,"type":"ME"}},{"description":"Lorazepam  Tab 0.5mg","code_information":[{"code":"300147","type":"CDM"},{"code":"637","type":"RC"},{"code":"69315090401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Metformin  Tab 500mg","code_information":[{"code":"302916","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Methimazole Tab 10mg","code_information":[{"code":"311130","type":"CDM"},{"code":"260","type":"RC"},{"code":"23155007101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Metoclopramide Tab 10mg","code_information":[{"code":"301513","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079088820","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Metoprolol  Tartrate Tab 25mg","code_information":[{"code":"304409","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079025501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Metoprolol  Tartrate Tab 50mg","code_information":[{"code":"300970","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079080101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Penicillin- Vk Tab 250mg","code_information":[{"code":"301331","type":"CDM"},{"code":"637","type":"RC"},{"code":"65862017501","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":250,"type":"ME"}},{"description":"Simvastatin Tab 20mg             V-05/19","code_information":[{"code":"303357","type":"CDM"},{"code":"637","type":"RC"},{"code":"51079045520","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Sotalol Tab 80mg","code_information":[{"code":"302909","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268072411","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Spironolactone Tab 25mg","code_information":[{"code":"300031","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Trazodone Tab 50mg","code_information":[{"code":"301777","type":"CDM"},{"code":"637","type":"RC"},{"code":"90468","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Verapamil Tab 80mg","code_information":[{"code":"300259","type":"CDM"},{"code":"637","type":"RC"},{"code":"23155002601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":80,"type":"ME"}},{"description":"Zolpidem Tab 5mg","code_information":[{"code":"302771","type":"CDM"},{"code":"637","type":"RC"},{"code":"90460","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":5,"type":"ME"}},{"description":"Zz Amoxicillin Cap:500 Mg","code_information":[{"code":"300071","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300071","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trihexyphenidyl(artane) Tab:2 Mg","code_information":[{"code":"300122","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300122","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Chloral Hydrate Oral Liq:500mg/5ml","code_information":[{"code":"300337","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300337","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ciprofloxacin(cipro) Tab: 500 Mg","code_information":[{"code":"300353","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300353","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Glyburide Tab: 1.5 Mg*","code_information":[{"code":"300725","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300725","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Haloperidol(haldol) Tab:0.5 Mg*","code_information":[{"code":"300739","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300739","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Isosorbide Dinitrate Tab: 10 Mg*","code_information":[{"code":"300842","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300842","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Isosorbide Dinitrate Tab: 20 Mg*","code_information":[{"code":"300843","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300843","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Furosemide (Lasix) Tab:40 Mg*","code_information":[{"code":"300920","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300920","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hyoscyamine(levsin) Tab:0.125 Mg","code_information":[{"code":"300935","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300935","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Glyburide(micronase) Tab 1.25mg","code_information":[{"code":"301058","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301058","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Prednisone Tab: 1 Mg","code_information":[{"code":"301410","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301410","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Prednisone Tab: 5 Mg","code_information":[{"code":"301419","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301419","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Phenazopyridine Tab 200mg-not Instock","code_information":[{"code":"301492","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301492","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trimethobenzamide Ped Supp: 100 Mg*","code_information":[{"code":"301748","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301748","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Trimethobenzamide Supp: 200 Mg*","code_information":[{"code":"301749","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301749","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Enalapril(vasotec) Tab: 2.5 Mg*","code_information":[{"code":"301864","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301864","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Enalapril(vasotec) Tab: 5 Mg","code_information":[{"code":"301865","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301865","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydroxyzine Pamoate Cap: 25 Mg*","code_information":[{"code":"301893","type":"CDM"},{"code":"259","type":"RC"},{"code":"Q0177","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diclofenac(voltarin)tab: 50 Mg","code_information":[{"code":"301910","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301910","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diclofenac Delayed-release Tab:75 Mg","code_information":[{"code":"302569","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302569","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Hydrocodone/apap(vicodin)5/500mg Tab:*","code_information":[{"code":"302613","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302613","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Oxaprozin(daypro) Tab: 600 Mg","code_information":[{"code":"302666","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302666","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Doxepin(sinequan) Cap: 10 Mg-","code_information":[{"code":"302914","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302914","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Thiothixene(navane) Cap: 2mg-","code_information":[{"code":"303152","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303152","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Enalapril(vasotec) Tab: 20 Mg","code_information":[{"code":"303156","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303156","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Warfarin(coumadin) Tablet: 7.5 Mg","code_information":[{"code":"303328","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303328","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Glimepiride(amaryl) Tab:2 Mg","code_information":[{"code":"303363","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303363","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Lithium Carbonate Cap 150mg","code_information":[{"code":"304153","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304153","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Thiothixene 2mg","code_information":[{"code":"304361","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304361","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":13,"gross_charge":14,"discounted_cash":11,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":13},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Iv Set Needle Lock/lever-lok Device","code_information":[{"code":"47997","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP47997","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Analgesic Balm Ointment: 30 Gm","code_information":[{"code":"300201","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300201","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Obs Scalp Electrode Attachment Pad","code_information":[{"code":"49248","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49248","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Suction Yankauer Handle Only","code_information":[{"code":"49325","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49325","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Cath Plug & Drain Tube Protector","code_information":[{"code":"49408","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49408","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Cast Padding Cotton 2 X4yd.","code_information":[{"code":"49422","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49422","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Nutr Ensure 8oz                  (B4150)","code_information":[{"code":"49650","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP49650","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Nutr Ensure Plus 8oz             (B4150)","code_information":[{"code":"50302","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP50302","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Nutr Ensure Coffee 8oz","code_information":[{"code":"52222","type":"CDM"},{"code":"270","type":"RC"},{"code":"CP52222","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585600566608918","type":"CDM"},{"code":"521","type":"RC"},{"code":"17003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Fluoride Varnish Treatment","code_information":[{"code":"CP17585600566638184","type":"CDM"},{"code":"521","type":"RC"},{"code":"D1206","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Destruction, Benign/premalig Lesions, Ex","code_information":[{"code":"CP17585603283910264","type":"CDM"},{"code":"510","type":"RC"},{"code":"17003","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":3,"maximum":12,"gross_charge":13,"discounted_cash":10,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":10},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":12},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":11},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":6}]}]},{"description":"Alum Hydroxide (Amphojel) Susp 30ml Ud","code_information":[{"code":"300083","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300083","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":9,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Cascara Sagrada Liq: 5ml Ud","code_information":[{"code":"300296","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300296","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":9,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Zz Docusate Sod(colace) Liq:100 Mg/10ml","code_information":[{"code":"300383","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300383","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":9,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diphenhydramine 12.5 Mg/5ml Liq: 60 Ml","code_information":[{"code":"302931","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302931","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":9,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Pentafluoroprop/tetrafluoro Top Spr 30ml","code_information":[{"code":"312850","type":"CDM"},{"code":"637","type":"RC"},{"code":"38600","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":9,"gross_charge":10,"discounted_cash":8,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":9},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":30,"type":"ML"}},{"description":"Acetaminophen Oral Susp. 160mg/5ml","code_information":[{"code":"310185","type":"CDM"},{"code":"259","type":"RC"},{"code":"60687076240","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Acetaminophen Suppository 325mg","code_information":[{"code":"300008","type":"CDM"},{"code":"637","type":"RC"},{"code":"51672211602","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Guaifenesin La Tab 600mg","code_information":[{"code":"310332","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Sodium Chloride Nasal Spray 44ml Bottle","code_information":[{"code":"301181","type":"CDM"},{"code":"637","type":"RC"},{"code":"90438","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":44,"type":"ML"}},{"description":"Acetaminophen Liq: 160mg/5ml 120ml","code_information":[{"code":"301823","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP301823","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ccppdextrose Chewable Tab","code_information":[{"code":"308546","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP308546","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Urinalysis test","code_information":[{"code":"CP17585600566723879","type":"CDM"},{"code":"301","type":"RC"},{"code":"81002","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Vitamin B12","code_information":[{"code":"CP17585600566725646","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3420","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":8,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Anes Per Min- Px Upper Gastro Endo Px","code_information":[{"code":"13300732-QZ","type":"CDM"},{"code":"DRG","type":"RC"},{"code":"732","type":"DRG","modifier":"QZ"}],"standard_charges":[{"setting":"inpatient","modifier_code":["QZ"],"minimum":4,"maximum":1285,"gross_charge":9,"discounted_cash":7,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":8},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1285},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"G-sling Arm Cradle Sml","code_information":[{"code":"201210","type":"CDM"},{"code":"274","type":"RC"},{"code":"A4565","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":7,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Blood Count; Hemoglobin (Hgb)","code_information":[{"code":"CP17585600566601563","type":"CDM"},{"code":"521","type":"RC"},{"code":"85018","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":7,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Solu-medrol Up To 40 Ml","code_information":[{"code":"CP17585600566717068","type":"CDM"},{"code":"636","type":"RC"},{"code":"J2920","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":7,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Solu-medrol Up To 40 Ml","code_information":[{"code":"CP17585603283951241","type":"CDM"},{"code":"510","type":"RC"},{"code":"J2920","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":2,"maximum":7,"gross_charge":8,"discounted_cash":6,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":6},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":7},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":4}]}]},{"description":"Omeprazole Capsule 20mg","code_information":[{"code":"304341","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304341","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Guaifenesin  Oral Soln. 200mg/10ml Ud","code_information":[{"code":"304051","type":"CDM"},{"code":"637","type":"RC"},{"code":"12114","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Ibuprofen Oral Susp. 100mg/5ml","code_information":[{"code":"302778","type":"CDM"},{"code":"637","type":"RC"},{"code":"12109","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Nicotine Lozenge 2mg","code_information":[{"code":"309329","type":"CDM"},{"code":"637","type":"RC"},{"code":"57237032072","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":2,"type":"ME"}},{"description":"Psyllium Powder 5.8gm Packet","code_information":[{"code":"301040","type":"CDM"},{"code":"637","type":"RC"},{"code":"37000025445","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Calmoseptine 3.5gm Packets","code_information":[{"code":"312938","type":"CDM"},{"code":"637","type":"RC"},{"code":"79900","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":6,"discounted_cash":5,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":3}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Miscellaneous Item Charge","code_information":[{"code":"300000","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300000","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Diphenhydramine Cap: 50 Mg","code_information":[{"code":"300197","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300197","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Povidone Iod(betadine) Oint: Ud Pack","code_information":[{"code":"300213","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300213","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Refresh(ophthalmic Lubricant):ud(each)","code_information":[{"code":"302980","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302980","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Alcohol Isopropyl 70% 480ml","code_information":[{"code":"303505","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303505","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Vitamin B-12(cyanocobalamin)tab:500mcg","code_information":[{"code":"304014","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304014","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Acetaminophen Suppository 120mg","code_information":[{"code":"300006","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802073200","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":120,"type":"ME"}},{"description":"Acetaminophen Suppository 650mg","code_information":[{"code":"300009","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802073000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":650,"type":"ME"}},{"description":"Ammonia Inhalant Ampule","code_information":[{"code":"302028","type":"CDM"},{"code":"636","type":"RC"},{"code":"46414333303","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Bisacodyl Suppository 10mg","code_information":[{"code":"300604","type":"CDM"},{"code":"637","type":"RC"},{"code":"57470","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Calcium Carbonate Tab 500mg","code_information":[{"code":"301802","type":"CDM"},{"code":"637","type":"RC"},{"code":"48433010601","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Chemstrips For Fingerstick","code_information":[{"code":"303919","type":"CDM"},{"code":"637","type":"RC"},{"code":"5942861001","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Fish Oil Cap 1000mg","code_information":[{"code":"304223","type":"CDM"},{"code":"637","type":"RC"},{"code":"77333030825","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1000,"type":"ME"}},{"description":"Loratadine Tab 10mg","code_information":[{"code":"302665","type":"CDM"},{"code":"637","type":"RC"},{"code":"50268048915","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Magnesium Oxide Tab 400mg","code_information":[{"code":"300988","type":"CDM"},{"code":"637","type":"RC"},{"code":"10006070028","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Magnesium/aluminum/simethicone Susp:20ml","code_information":[{"code":"304978","type":"CDM"},{"code":"637","type":"RC"},{"code":"37205053640","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ML"}},{"description":"Meclizine Tab 25mg","code_information":[{"code":"300099","type":"CDM"},{"code":"637","type":"RC"},{"code":"90473","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Melatonin Tab 3mg","code_information":[{"code":"309388","type":"CDM"},{"code":"637","type":"RC"},{"code":"20555003600","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":3,"type":"ME"}},{"description":"Neomycin/bacitracin/poly Oint 0.9gm Pkt","code_information":[{"code":"301137","type":"CDM"},{"code":"637","type":"RC"},{"code":"45802014300","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Phenazopyridine Tab 95mg","code_information":[{"code":"306435","type":"CDM"},{"code":"637","type":"RC"},{"code":"70000024301","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":95,"type":"ME"}},{"description":"Sodium Chloride Tab 1gm","code_information":[{"code":"304431","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vitamin B-12(cyanocobalamin) Tab 1000mcg","code_information":[{"code":"304056","type":"CDM"},{"code":"637","type":"RC"},{"code":"20555000600","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vitamin B-6 Tab 50mg","code_information":[{"code":"301899","type":"CDM"},{"code":"637","type":"RC"},{"code":"77333094010","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":50,"type":"ME"}},{"description":"Vitamin E Cap 400units","code_information":[{"code":"301906","type":"CDM"},{"code":"637","type":"RC"},{"code":"77333095125","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"UN"}},{"description":"Zinc Sulfate Cap 220mg","code_information":[{"code":"302866","type":"CDM"},{"code":"637","type":"RC"},{"code":"20555004000","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":220,"type":"ME"}},{"description":"Meclizine Tab: 12.5 Mg","code_information":[{"code":"300100","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300100","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ammonia Inhalant Ampule","code_information":[{"code":"302028-GY","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3490","type":"HCPCS","modifier":"GY"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GY"],"minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Chemstrips For Sliding Scale","code_information":[{"code":"303918","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303918","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":5,"gross_charge":5,"discounted_cash":4,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":5},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Triamcinolone Acetonide (Kenalog) 10mg","code_information":[{"code":"CP17585600566724579","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Triamcinolone Acetonide (Kenalog) 10mg","code_information":[{"code":"CP17585603283951157","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3301","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Acetaminophen  Tab 325mg","code_information":[{"code":"301829","type":"CDM"},{"code":"637","type":"RC"},{"code":"90467","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Acetaminophen  Tab 500mg","code_information":[{"code":"301811","type":"CDM"},{"code":"637","type":"RC"},{"code":"50580045711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Acetaminophen Chew Tab 160mg","code_information":[{"code":"312306","type":"CDM"},{"code":"637","type":"RC"},{"code":"70000030901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":160,"type":"ME"}},{"description":"Aspirin  Chewable Tab 81mg","code_information":[{"code":"303495","type":"CDM"},{"code":"637","type":"RC"},{"code":"48433012901","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":81,"type":"ME"}},{"description":"Aspirin  Tab 325mg","code_information":[{"code":"300129","type":"CDM"},{"code":"637","type":"RC"},{"code":"57896092101","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":325,"type":"ME"}},{"description":"Benzocaine/menthol 15/3.6mg Lozenge","code_information":[{"code":"300327","type":"CDM"},{"code":"637","type":"RC"},{"code":"78112001106","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":36,"type":"ME"}},{"description":"Benzocaine/menthol 6/10mg Lozenge","code_information":[{"code":"312281","type":"CDM"},{"code":"637","type":"RC"},{"code":"78112001106","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":10,"type":"ME"}},{"description":"Calcium W/ Vitamin D Tab 500mg","code_information":[{"code":"301295","type":"CDM"},{"code":"637","type":"RC"},{"code":"10006070038","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Chlorpheniramine Tab 4mg","code_information":[{"code":"312129","type":"CDM"},{"code":"637","type":"RC"},{"code":"90400","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":4,"type":"ME"}},{"description":"Diphenhydramine Cap 25mg","code_information":[{"code":"300195","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":25,"type":"ME"}},{"description":"Docusate Sodium Cap 100mg","code_information":[{"code":"300380","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":100,"type":"ME"}},{"description":"Famotidine Tab 20mg","code_information":[{"code":"301334","type":"CDM"},{"code":"637","type":"RC"},{"code":"90471","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":20,"type":"ME"}},{"description":"Ibuprofen Tab 200mg","code_information":[{"code":"300018","type":"CDM"},{"code":"636","type":"RC"},{"code":"90479","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":200,"type":"ME"}},{"description":"Ibuprofen Tab 400mg","code_information":[{"code":"301109","type":"CDM"},{"code":"637","type":"RC"},{"code":"90458","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":400,"type":"ME"}},{"description":"Ibuprofen Tab 600mg","code_information":[{"code":"301110","type":"CDM"},{"code":"637","type":"RC"},{"code":"60687045711","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":600,"type":"ME"}},{"description":"Multivitamin Tab","code_information":[{"code":"301134","type":"CDM"},{"code":"637","type":"RC"},{"code":"90405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Ora-sweet","code_information":[{"code":"308777","type":"CDM"},{"code":"637","type":"RC"},{"code":"57403","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Pseudoephedrine Tab 30mg","code_information":[{"code":"303800","type":"CDM"},{"code":"637","type":"RC"},{"code":"90469","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":30,"type":"ME"}},{"description":"Senna Tab 8.6mg","code_information":[{"code":"303893","type":"CDM"},{"code":"637","type":"RC"},{"code":"90472","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":86,"type":"ME"}},{"description":"Vaseline Petrolatum Jelly 5gm Packet","code_information":[{"code":"304504","type":"CDM"},{"code":"637","type":"RC"},{"code":"16800","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"EA"}},{"description":"Vitamin C Tab 500mg","code_information":[{"code":"301903","type":"CDM"},{"code":"637","type":"RC"},{"code":"90405","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":500,"type":"ME"}},{"description":"Vitamin D3 Tab 1000units (25mcg)","code_information":[{"code":"303908","type":"CDM"},{"code":"637","type":"RC"},{"code":"48433010401","type":"NDC"}],"standard_charges":[{"setting":"both","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1000,"type":"UN"}},{"description":"Ibuprofen Tab 200mg","code_information":[{"code":"300018-GY","type":"CDM"},{"code":"636","type":"RC"},{"code":"J3490","type":"HCPCS","modifier":"GY"}],"standard_charges":[{"setting":"outpatient","modifier_code":["GY"],"minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ferrous Sulfate Tab: 325 Mg*","code_information":[{"code":"300671","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300671","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ferrous Sulf Oral Sol:220mg/5ml 5ml","code_information":[{"code":"300673","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300673","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ferrous Gluconate Tab: 324mg","code_information":[{"code":"302174","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP302174","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Ocuvite(vit A/c/e/minerals) Tab:each-","code_information":[{"code":"303314","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303314","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":4,"gross_charge":4,"discounted_cash":3,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":4},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":2}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"G-ketorolac (Toradol) Inj: 15 Mg/ml-","code_information":[{"code":"CP17585600566631980","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":3,"gross_charge":3,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"G-ketorolac (Toradol) Inj: 15 Mg/ml-","code_information":[{"code":"CP17585603283914086","type":"CDM"},{"code":"510","type":"RC"},{"code":"J1885","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":3,"gross_charge":3,"discounted_cash":2,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Anthem","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Humana","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":2},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":3},{"payer_name":"United Healthcare","plan_name":"Medicare Advantage","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Wellcare","plan_name":"HMO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":".Testing (Urine Culture)","code_information":[{"code":"351159","type":"CDM"},{"code":"300","type":"RC"},{"code":"87086","type":"CPT"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]},{"description":"Depo Provera 1mg","code_information":[{"code":"CP17585600566608383","type":"CDM"},{"code":"636","type":"RC"},{"code":"J1050","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Novolin 70/30 Insulin 100u/ml","code_information":[{"code":"300768","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP300768","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin Lispro 100u/ml","code_information":[{"code":"303379","type":"CDM"},{"code":"259","type":"RC"},{"code":"J1815","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin Glargine 100u/ml","code_information":[{"code":"303952","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP303952","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Insulin Lispro-pro/lispro 75/25 100u/ml","code_information":[{"code":"304148","type":"CDM"},{"code":"637","type":"RC"},{"code":"CP304148","type":"LOCAL"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}],"drug_information":{"unit":1,"type":"UN"}},{"description":"Travel Allowance","code_information":[{"code":"60147","type":"CDM"},{"code":"300","type":"RC"},{"code":"P9604","type":"HCPCS"}],"standard_charges":[{"setting":"outpatient","minimum":1,"maximum":1,"gross_charge":1,"discounted_cash":1,"payers_information":[{"payer_name":"Aetna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Anthem","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Cigna","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Harvard Pilgrim","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Martins Point","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"Partners Direct Health","plan_name":"Commercial","methodology":"percent of total billed charges","standard_charge_dollar":1},{"payer_name":"United Healthcare","plan_name":"PPO","methodology":"percent of total billed charges","standard_charge_dollar":1}]}]}],"last_updated_on":"2025-10-01","location_name":["Calais Community Hospital"],"hospital_address":["24 Hospital Lane, Calais, ME 04619"],"attestation":{"attestation":"To the best of its knowledge and belief, this hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date in the file. This hospital has included all payer-specific negotiated charges in dollars that can be expressed as a dollar amount. For payer-specific negotiated charges that cannot be expressed as a dollar amount in the machine-readable file or not knowable in advance, the hospital attests that the payer-specific negotiated charge is based on a contractual algorithm, percentage or formula that precludes the provision of a dollar amount and has provided all necessary information available to the hospital for the public to be able to derive the dollar amount, including, but not limited to, the specific fee schedule or components referenced in such percentage, algorithm or formula.","confirm_attestation":true,"attester_name":"Steve Lail"},"type_2_npi":["1922001049"],"license_information":{"license_number":"39945","state":"ME"},"version":"3.0.0"}